Organization
COMMUNITY MEDICAL CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ALAN DIEDERICH (CEO)
(209) 689-4066
Entity
Organization
Contact information
Practice address
200 COTTAGE AVE STE 202, MANTECA, CA 95336-4935
(209) 624-5800
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
03/11/2026
Last updated
03/11/2026
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