Organization
COMMUNITY MEDICAL CENTERS
Active
Other names
Tracy Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL H KIRKPATRICK (CEO)
(209) 373-2833
Entity
Organization
Contact information
Practice address
730 CENTRAL AVE, TRACY, CA 95376-4104
(209) 870-1500
Mailing address
PO BOX 779, STOCKTON, CA 95201-0779
(209) 373-2814
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HAP70462F
—
CA
Enumeration date
03/27/2007
Last updated
08/22/2020
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