Organization
COMMUNITY MEDICAL CENTERS INC
Active
Organization
COMMUNITY MEDICAL CENTERS INC
Active
Other names
Community Medical Centers, West Lane
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE C NOGUERA (CEO)
(209) 373-2800
Entity
Organization
Contact information
Practice address
7912 WEST LN STE 221, STOCKTON, CA 95210-3159
(209) 636-5000
(209) 751-5252
Mailing address
7210 MURRAY DR, STOCKTON, CA 95210-3339
(209) 373-2800
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
01/28/2019
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