Channel Medical Center

LBN: Community Medical Centers, Inc
Channel Medical Center is an health care organization with primary practice located at 701 E Channel St , Stockton CA 95202-2628. 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) 944-4700, or through Kirkpatrick, Michael H via phone (209) 373-2833.

Contact Information

Primary practice address
701 E Channel St Stockton CA 95202-2628
Phone: (209) 944-4700
Fax: (209) 944-6715
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 030000561 California

Profile Details

NPI number 1578552543
LBN Legal business name Community Medical Centers, Inc
DBA Doing business as Channel Medical Center
Authorized official Kirkpatrick, Michael H
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2005
Last updated Jul 14th, 2010 - about 16 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 1578552543 NPPES
California MEDICAID FHC70629F

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