Organization
COMMUNITY HEALTH CENTERS OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE DOLE (MANAGER)
(209) 575-4575
Entity
Organization
Contact information
Practice address
5320 HIGHWAY 49 N, MARIPOSA, CA 95338-9588
(209) 575-4575
(209) 575-4598
Mailing address
PO BOX 3091, MODESTO, CA 95353-3091
(209) 575-4575
(209) 575-4575
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A86330
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
75-1169
—
CA
Enumeration date
11/02/2017
Last updated
01/21/2026
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