Organization
COMMUNITY MEDICAL CENTERS, INC.
Active
Other names
Dixon Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL H. KIRKPATRICK (CEO)
(209) 373-2833
Entity
Organization
Contact information
Practice address
131 W A ST, DIXON, CA 95620-3437
(707) 635-1600
(707) 635-1641
Mailing address
PO BOX 779, STOCKTON, CA 95201-0779
(707) 820-1500
(707) 820-1525
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP03864F
BCCCP
CA
Enumeration date
04/10/2007
Last updated
08/22/2020
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