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NPI 1639082563

NPI 1639082563 : CASTLE FAMILY HEALTH CENTERS INC. : ATWATER, CA

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General NPI Number Information
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    NPI Number           |    1639082563
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    Entity Type          |    Organization 
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    Legal Business Name  |    CASTLE FAMILY HEALTH CENTERS INC. 
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Dates
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    Enumeration Date     |    09/23/2026
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    Last Update Date     |    09/24/2026
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Provider Practice Location Address
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    Address Line         |    3605 HOSPITAL RD 
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    City                 |    ATWATER
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    State                |    CA
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    Zip                  |    95301-5173
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    Country              |    US
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    Telephone            |    209-381-2000
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    Fax                  |    209-726-0278
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Provider Business Mailing Address
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    Address Line         |    3605 HOSPITAL RD 
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    City                 |    ATWATER
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    State                |    CA
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    Zip                  |    95301-5173
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    Country              |    US
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    Telephone            |    209-381-2000
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    Fax                  |    209-726-0278
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Authorized Official
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    Title or Position    |    CHIEF FINANCIAL OFFICER
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    Name                 |     DAWNITA  CASTLE 
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    Credential           |    CFO
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    Telephone            |    209-381-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261Q00000X
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    Taxonomy Name        |    Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    261QF0400X
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    Taxonomy Name        |    Federally Qualified Health Center (FQHC)
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    License Number       |    
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    License Number State |    
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