Organization
COMMUNITY MEDICAL CENTERS, INC.
Active
Organization
COMMUNITY MEDICAL CENTERS, INC.
Active
Other names
Channel Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL H. KIRKPATRICK (CEO)
(209) 373-2833
Entity
Organization
Contact information
Practice address
701 E CHANNEL ST, STOCKTON, CA 95202-2628
(209) 944-4700
(209) 944-4796
Mailing address
PO BOX 779, STOCKTON, CA 95201-0779
(209) 944-4700
(209) 944-4796
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAP70629F
SOFP
CA
Enumeration date
04/04/2007
Last updated
08/27/2007
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