King Family Center Health Clinic

LBN: Community Medical Centers, Inc.
King Family Center Health Clinic is an health care organization with primary practice located at 2640 E Lafayette St , Stockton CA 95205-5713. 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, Inc. can be contacted via phone (209) 933-7232, or through Kirkpatrick, Michael H. via phone (209) 373-2833.

Contact Information

Primary practice address
2640 E Lafayette St Stockton CA 95205-5713
Phone: (209) 933-7232
Fax: (209) 466-6527
Website:
Map and Directions
Authorized official contact:
Name: Kirkpatrick, Michael H.
Phone: (209) 373-2833

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 0300000561 California

Profile Details

NPI number 1164586772
LBN Legal business name Community Medical Centers, Inc.
DBA Doing business as King Family Center Health Clinic
Authorized official Kirkpatrick, Michael H.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
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 1164586772 NPPES
California MEDICAID FHC70629F

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