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Organization

COMMUNITY HEALTH CENTERS OF AMERICA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAMIE DOLE (MANAGER)
(209) 441-8383
Entity
Organization

Contact information

Practice address
554 5TH ST, GUSTINE, CA 95322-1516
(209) 733-9360
(209) 733-9464
Mailing address
554 5TH ST, GUSTINE, CA 95322-1516
(209) 733-9360
(209) 733-9464

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
10/06/2025
Last updated
10/17/2025
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