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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