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Organization
GATEWAY MEDICAL CENTER INC
Active
Organization
GATEWAY MEDICAL CENTER INC
Active
Other names
Anderson Walk In Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TIFFANY LOCKHART REGUERA F.N.P. (DIRECTOR)
(530) 365-4412
Entity
Organization
Contact information
Practice address
3082 MCMURRAY DR, ANDERSON, CA 96007
(530) 365-4412
(530) 365-5186
Mailing address
3082 MCMURRAY DR, ANDERSON, CA 96007
(530) 365-4412
(530) 365-5186
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
20A5484
CA
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM53862F
—
CA
Enumeration date
01/17/2007
Last updated
02/26/2015
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