Organization
FIREBAUGH AND MENDOTA HEALTH CLINICS, INC.
Active
Other names
FIREBAUGH FAMILY HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ISELA M HARO (OFFICE MANAGER)
(559) 449-1370
Entity
Organization
Contact information
Practice address
992 O ST, FIREBAUGH, CA 93622-2221
(559) 659-3011
(559) 659-3065
Mailing address
2057 HIGH ST, SELMA, CA 93662-3512
(559) 891-9100
(559) 891-7827
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
053930
MEDICARE
CA
05
—
RHM03930H
—
CA
Enumeration date
04/13/2007
Last updated
07/21/2015
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