San Joaquin Prime Care Medical Group Inc | |
330 E Pine St Exeter CA 93221-1838 | |
(559) 592-2134 | |
(559) 592-5017 |
Full Name | San Joaquin Prime Care Medical Group Inc |
---|---|
Speciality | Family Medicine |
Location | 330 E Pine St, Exeter, California |
Authorized Official Name and Position | Rita Nye (BILLING SUPERVISOR) |
Authorized Official Contact | 5597831181 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
San Joaquin Prime Care Medical Group Inc 330 E Pine St Exeter CA 93221-1838 Ph: (559) 592-2134 | San Joaquin Prime Care Medical Group Inc 330 E Pine St Exeter CA 93221-1838 Ph: (559) 592-2134 |
NPI Number | 1265580500 |
---|---|
Provider Enumeration Date | 01/05/2007 |
Last Update Date | 04/24/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265580500 | NPI | - | NPPES |
GR0084780 | Medicaid | CA | |
RHM53822F | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A43893 (California) | Primary |
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Omni Family Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1110 W. Visalia Rd, #102, Exeter, CA 93221 Phone: 661-459-1900 Fax: 661-746-9197 | |
Shyam Bhaskar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 E Maple St, Exeter, CA 93221 Phone: 559-592-6039 Fax: 559-635-7106 | |
Rulon Douglas Owen Do Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 244 N Kaweah Ave, Exeter, CA 93221 Phone: 559-592-3889 |