Organization
FAMILY HEALTH CENTRE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE KIBLER MD (PRESIDENT)
(760) 872-4311
Entity
Organization
Contact information
Practice address
686 W LINE ST, BISHOP, CA 93514-3315
(760) 872-4311
(760) 872-4130
Mailing address
686 W LINE ST, BISHOP, CA 93514-3315
(760) 872-4311
(760) 873-4130
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
00C371720
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0021672
—
CA
Enumeration date
05/27/2009
Last updated
05/27/2009
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