Organization
COMMUNITY MEDICAL CENTERS, INC.
Active
Other names
Esparto Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL H KIRKPATRICK (CHIEF EXECUTIVE OFFICER)
(209) 373-2833
Entity
Organization
Contact information
Practice address
17050 S. GRAFTON STREET, ESPARTO, CA 95627
(530) 787-3454
(530) 787-4233
Mailing address
PO BOX 779, STOCKTON, CA 95201-0779
(530) 787-3454
(530) 787-4233
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03864F
—
CA
Enumeration date
12/26/2006
Last updated
08/22/2020
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