Organization
COMMUNITY MEDICAL CENTERS INC
Active
Other names
Delta College Health Centers operated By Community Medical Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE C NOGUERA (CEO)
(209) 373-2831
Entity
Organization
Contact information
Practice address
5151 PACIFIC AVE, LOCK CENTER ROOM 126 & 128, STOCKTON, CA 95207-6304
(209) 940-5660
Mailing address
7210 MURRAY DR, STOCKTON, CA 95210-3339
(209) 373-2800
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/03/2020
Last updated
09/03/2020
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