# FAMILY HEALTHCARE OF CHOWCHILLA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FAMILY HEALTH MEDICAL CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1013314046
- **Legal business name:** FAMILY HEALTH MEDICAL CENTER
- **Authorized official:** PEDRO R FEBRES-ROMAN M.D (OWNER/PHYCIAN)
- **Authorized official phone:** (209) 827-4747

## Contact information

- **Practice address:** 1300 ROBERTSON BLVD, CHOWCHILLA, CA 93610-2633
- **Practice address phone:** (209) 827-4747
- **Practice address fax:** (209) 827-5831
- **Mailing address:** 1045 5TH ST, LOS BANOS, CA 93635-4204
- **Mailing address phone:** (209) 827-4747
- **Mailing address fax:** (209) 827-5831

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | A29593 | CA | Yes |

## Other

- **Enumeration date:** 11/19/2014
- **Last updated:** 01/16/2015