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NPI Code Detail

MEDICARE: CAMARENA HEALTH

MEDICARE: CAMARENA HEALTH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1013406610
Entity Type Code : Organization
Provider Name (Legal Business Name) : CAMARENA HEALTH
Provider Business Mailing Address
First Line : PO BOX 299
Second Line :
City : MADERA
State : CA
Zip : 93639-0299
Country : US
Telephone Number : 559-664-4000
Fax Number : 559-675-5625
Provider Business Practice Location Address
First Line : 441 E YOSEMITE AVE
Second Line :
City : MADERA
State : CA
Zip : 93638-3604
Country : US
Telephone Number : 559-664-4000
Fax Number : 559-675-5625
Authorized Official
Title or Position : BILLING SUPERVISOR
Name : MRS. LUZVINDA GABRIELA MARTINEZ
Credential :
Telephone Number : 559-664-4000
Provider Enumeration Date : 05/09/2018
Last Update Date : 05/09/2018

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Directions to “CAMARENA HEALTH ” Practice Location

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