Organization
OMNI FAMILY HEALTH
Active
Other names
National Health Cervices, INC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO L CASTILLON (CHIEF EXECUTIVE OFFICER)
(661) 630-7050
Entity
Organization
Contact information
Practice address
659 S CENTRAL VALLEY HWY, SHAFTER, CA 93263
(661) 459-1900
(661) 459-1974
Mailing address
4900 CALIFORNIA AVE STE 400B, BAKERSFIELD, CA 93309-7081
(661) 459-1900
(661) 459-1974
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
CLP320413
CA
291U00000X
Clinical Medical Laboratory
CLP 320413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05D0918896
—
CA
Enumeration date
02/04/2008
Last updated
08/09/2018
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