Tracy Family Practice | |
730 Central Ave Tracy CA 95376-4104 | |
(209) 820-1500 | |
(209) 820-1525 |
Full Name | Tracy Family Practice |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 730 Central Ave, Tracy, California |
Authorized Official Name and Position | Michael H Kirkpatrick (CEO) |
Authorized Official Contact | 2093732833 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tracy Family Practice Po Box 779 Stockton CA 95201-0779 Ph: (209) 820-1500 | Tracy Family Practice 730 Central Ave Tracy CA 95376-4104 Ph: (209) 820-1500 |
NPI Number | 1669594545 |
---|---|
Provider Enumeration Date | 04/04/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669594545 | NPI | - | NPPES |
HAP70426F | Other | CA | SOFP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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