Organization
CASTLE FAMILY HEALTH CENTER & ADULT DAYCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS DEBBIE MARIE KELLEY (DIRECTOR OF BUSINESS SERVICES)
(209) 381-2000
Entity
Organization
Contact information
Practice address
3605 HOSPITAL RD, SUITE H, ATWATER, CA 95301-5173
(209) 381-2000
(209) 726-0278
Mailing address
3605 HOSPITAL RD, SUITE H, ATWATER, CA 95301-5173
(209) 381-2000
(209) 726-0278
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ADUR0420F
—
CA
05
—
BCP03997F
—
CA
05
—
BCP18515F
—
CA
05
—
BCP18537F
—
CA
05
—
HAP03997F
—
CA
05
—
HAP18515F
—
CA
05
—
HAP18537F
—
CA
05
—
RHM03997F
—
CA
05
—
RHM18515F
—
CA
05
—
RHM18537F
—
CA
Enumeration date
03/13/2007
Last updated
03/24/2008
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