Organization
FAMILY HEALTH MEDICAL CENTER INC.
Active
Parent organization
FAMILY HEALTH MEDICAL CENTER INC.
Other names
ACCESS FAMILY MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH MEDICAL CENTER INC.
Authorized official
LISA HAWTHORNE (OFFICE MANAGER)
(209) 827-4747
Entity
Organization
Contact information
Practice address
444 SANTA RITA AVENUE, LOS BANOS, CA 93635-4204
(209) 827-4747
(209) 827-5831
Mailing address
1045 5TH ST, LOS BANOS, CA 93635-4204
(209) 827-4747
(209) 827-5831
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
A61093
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A61093
MD LICENSE
CA
Enumeration date
01/09/2017
Last updated
10/05/2018
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