Organization
CASTLE FAMILY HEALTH CENTERS INC.
Active
Other names
Castle Family Health Center at Bloss
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD LUJANO DBA (CEO)
(209) 381-2000
Entity
Organization
Contact information
Practice address
1251 GROVE AVENUE, ATWATER, CA 95301
(209) 381-2000
(209) 722-9020
Mailing address
3605 HOSPITAL ROAD, ATWATER, CA 95301
(209) 381-2000
(209) 722-9020
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QR1300X
Rural Health Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM03997F
—
CA
Enumeration date
07/25/2006
Last updated
05/25/2023
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