Organization
COMMUNITY MEDICAL CENTERS, INC
Active
Other names
Community Medical Centers -Tracy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE C NOGUERA (CEO)
(209) 373-2831
Entity
Organization
Contact information
Practice address
730 N CENTRAL AVE, TRACY, CA 95376-4104
(209) 820-1525
(209) 820-1525
Mailing address
7210 MURRAY DRIVE, PO BOX 770, STOCKTON, CA 95210-3339
(209) 373-2800
(209) 373-2878
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
030000423
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70462F
—
CA
Enumeration date
10/28/2005
Last updated
04/13/2018
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