Healthcare Provider Details

I. General information

NPI: 1265192512
Provider Name (Legal Business Name): FAMILY HEALTH CENTERS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2021
Last Update Date: 02/07/2025
Certification Date: 02/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2057 HIGH ST
SELMA CA
93662-3512
US

IV. Provider business mailing address

2057 HIGH ST
SELMA CA
93662-3512
US

V. Phone/Fax

Practice location:
  • Phone: 559-891-9100
  • Fax: 559-891-7827
Mailing address:
  • Phone: 559-449-1237
  • Fax: 559-449-1340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KEVIN KALEKA
Title or Position: ADMINISTRATOR
Credential: MD
Phone: 800-492-4227