Organization
COMMUNITY MEDICAL CENTERS, INC
Active
Other names
dixon family practice
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE C NOGUERA (CEO)
(209) 373-2831
Entity
Organization
Contact information
Practice address
131 W A ST STE 1, DIXON FAMILY PRACTICE, DIXON, CA 95620-3437
(707) 635-1600
(707) 635-1641
Mailing address
7210 MURRAY DR, PO BOX 779, STOCKTON, CA 95210-3339
(209) 373-2800
(209) 373-2878
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
010000152
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03864F
—
CA
Enumeration date
10/31/2005
Last updated
05/21/2015
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