Healthcare Provider Details

I. General information

NPI: 1639082563
Provider Name (Legal Business Name): CASTLE FAMILY HEALTH CENTERS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 HOSPITAL RD
ATWATER CA
95301-5173
US

IV. Provider business mailing address

3605 HOSPITAL RD
ATWATER CA
95301-5173
US

V. Phone/Fax

Practice location:
  • Phone: 209-381-2000
  • Fax: 209-726-0278
Mailing address:
  • Phone: 209-381-2000
  • Fax: 209-726-0278

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

Name: DAWNITA CASTLE
Title or Position: CHIEF FINANCIAL OFFICER
Credential: CFO
Phone: 209-381-2000