FIREBAUGH AND MENDOTA HEALTH CLINICS, INC. (NPI# 1326262965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1326262965 |
Entity Type | Organization |
Organization Name | FIREBAUGH AND MENDOTA HEALTH CLINICS, INC. |
Other Organization Name | FIREBAUGH FAMILY HEALTH CLINIC |
Practice Address |
992 O St Firebaugh CA 93622-2221 |
Mailing Address |
2057 High St Selma CA 93662-3512 |
Practice Telephone | 5596593011 |
Practice Fax Number | 5596593065 |
Mailing Telephone | 5598919100 |
Mailing Fax Number | 5598917827 |
Enumeration Date | 2007-04-13 |
Last Update Date | 2015-07-21 |
Authorized Official Name | MISS ISELA M HARO (OFFICE MANAGER) |
Authorized Official Telephone | 5594491370 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE | 053930 | 01 |
CA | RHM03930H | 05 |
Other Name | Type Code |
---|---|
FIREBAUGH FAMILY HEALTH CLINIC | Doing Business As Name - Organization |
Street Address |
992 O ST |
City | FIREBAUGH |
State | CA |
Zip Code | 93622-2221 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386798338 | Evelyn Aguilera Kramer | Physician Assistant | 992 O St, Firebaugh, CA 93622-2221 | 2007-01-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558638601 | Valley Health Team, Inc. | Clinic/Center | 927 O St, Firebaugh, CA 93622 | 2011-11-17 |
1932307485 | Maritess Garcia Fuentes | Family Medicine | 927 O St, Firebaugh, CA 93622-2220 | 2007-07-06 |
1710973060 | Oscar Mangarero Sablan | Internal Medicine | 979 O St, Ste B, Firebaugh, CA 93622-2220 | 2005-09-22 |
1386057354 | Amandeep Kaur Kahal | Family Medicine | 927 O St, Firebaugh, CA 93622-2220 | 2014-06-08 |
1477992584 | Diana Oviedo-cavazos | Family Medicine | 927 O St, Firebaugh, CA 93622-2220 | 2013-06-21 |
1295051571 | Satnam Singh Bangar | Family Medicine | 927 O St, Firebaugh, CA 93622-2220 | 2010-04-13 |
1568679397 | Sablan Medical Corporation | Family Medicine | 979 O St, Ste B, Firebaugh, CA 93622-2220 | 2007-05-17 |
1649266990 | Marcia Eckelman Sablan | Family Medicine | 979 O St, Ste B, Firebaugh, CA 93622-2220 | 2005-09-22 |
1053344259 | Patrick Doucette | Dentist | 910 O St, Firebaugh, CA 93622-2221 | 2006-07-09 |
1811095037 | Marieta T Marcial | Nurse Practitioner | 1107 O St, Firebaugh, CA 93622-2224 | 2006-09-20 |
Find all providers in zip 93622 |
Taxonomy Code | 261QR1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rural Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467696203 | Westside Medical Group, Inc | Clinic/Center | 1107 O St, Firebaugh, CA 93622-2224 | 2009-04-23 |
1831235605 | Westside Medical Group, Inc. | Clinic/Center | 1107 O St, Firebaugh, CA 93622-2224 | 2007-01-29 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.