Organization
BARTZ-ALTADONNA COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY CUMMINGS (CEO)
(661) 466-3895
Entity
Organization
Contact information
Practice address
43322 GINGHAM AVE, LANCASTER, CA 93535-4576
(661) 874-4050
(661) 942-3500
Mailing address
43322 GINGHAM AVE, LANCASTER, CA 93535-4576
(661) 874-4050
(661) 942-3500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251X00000X
Supports Brokerage Agency
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2015040
—
CA
Enumeration date
09/16/2011
Last updated
05/21/2025
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