Organization
OMNI FAMILY HEALTH
Active
Other names
National Health Services, IINC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCISCO L CASTILLON (CEO)
66616307050
Entity
Organization
Contact information
Practice address
655 S CENTRAL VALLEY HWY, SHAFTER, CA 93263-2790
(661) 746-9194
(661) 746-9197
Mailing address
4900 CALIFORNIA AVE, 400B, BAKERSFIELD, CA 93309-7081
(661) 459-1900
(661) 459-1944
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
120000652
CA
291U00000X
Clinical Medical Laboratory
CLP 320413
CA
291U00000X
Clinical Medical Laboratory
CLP320413
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAP70965F
MEDI-CAL
CA
Enumeration date
03/26/2008
Last updated
07/11/2014
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