Organization
COMMUNITY MEDICAL CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL H. KIRKPATRICK (CEO)
(209) 373-2833
Entity
Organization
Contact information
Practice address
265 WEST ST. CHARLES STREET, SAN ANDREAS, CA 95249-1107
(209) 373-2800
(209) 373-2878
Mailing address
PO BOX 779, STOCKTON, CA 95201-0779
(209) 373-2800
(209) 373-2878
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAP70461F
SOFP
CA
Enumeration date
04/04/2007
Last updated
08/22/2020
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