Providence Family Practice Medical Group | |
1213 Coffee Rd Suite B Modesto CA 95355-4229 | |
(209) 491-2500 | |
(209) 491-2545 |
Full Name | Providence Family Practice Medical Group |
---|---|
Speciality | Family Medicine |
Location | 1213 Coffee Rd, Modesto, California |
Authorized Official Name and Position | Kathie Lee Cronin (MANAGING PARTNER) |
Authorized Official Contact | 2094912500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Providence Family Practice Medical Group 1213 Coffee Rd Suite B Modesto CA 95355-4229 Ph: (209) 491-2500 | Providence Family Practice Medical Group 1213 Coffee Rd Suite B Modesto CA 95355-4229 Ph: (209) 491-2500 |
NPI Number | 1104979582 |
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Provider Enumeration Date | 01/19/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104979582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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› Verified 8 days ago
Tushar R. Modi, M.d. Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 413 E Orangeburg Ave Ste A, Modesto, CA 95350 Phone: 209-529-9600 Fax: 209-544-2620 | |
Golden Valley Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1510 Florida Ave, Suite B, Modesto, CA 95350 Phone: 209-549-7090 Fax: 209-549-7099 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1114 6th St, Modesto, CA 95354 Phone: 209-576-2845 Fax: 209-384-3966 | |
Golden Valley Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1121 Hammond St, Modesto, CA 95351 Phone: 209-576-4437 Fax: 209-384-3966 | |
Greater Modesto Medical Surgical Associates, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3125 Conant Ave, Modesto, CA 95350 Phone: 209-214-7053 Fax: 209-523-0764 | |
Gettysburg Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Coffee Rd, Building 10, Modesto, CA 95355 Phone: 209-725-2060 Fax: 209-725-2072 | |
Keith Leibowitz M.d. A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 203 Park Ave, Modesto, CA 95354 Phone: 757-645-7079 |