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Organization

COMMUNITY MEDICAL CENTERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. PAUL B WANDEL (CFO)
(209) 373-2828
Entity
Organization

Contact information

Practice address
2003 E MARIPOSA RD, STOCKTON, CA 95205-7735
(209) 751-1900
(209) 751-1950
Mailing address
PO BOX 779, STOCKTON, CA 95201-0779
(209) 373-2828
(209) 373-2878

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
FP99999
FAMILY PLANNING
CA
Enumeration date
04/04/2008
Last updated
04/04/2008
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