San Andreas Clinic

LBN: Community Medical Centers
San Andreas Clinic is an health care organization with primary practice located at 265 W Saint Charles St # 3, San Andreas CA 95249-9618. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Community Medical Centers can be contacted via phone (209) 755-1400, or through Wandel, Paul B via phone (209) 944-4710.

Contact Information

Primary practice address
265 W Saint Charles St # 3 San Andreas CA 95249-9618
Phone: (209) 755-1400
Fax: (209) 755-1430
Website:
Map and Directions
Authorized official contact:
Name: Wandel, Paul B
Phone: (209) 944-4710

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X California

Profile Details

NPI number 1801887716
LBN Legal business name Community Medical Centers
DBA Doing business as San Andreas Clinic
Authorized official Wandel, Paul B
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2005
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801887716 NPPES
California MEDICAID FHC70461F

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