| Organization Name: | FAMILY HEALTHCARE OF CHOWCHILLA |
| NPI Number: | 1013314046 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PEDRO R FEBRES-ROMAN (OWNER/PHYCIAN) |
| Mailing Address: | 1300 Robertson Blvd Chowchilla |
| State: | CA US |
| Postal Code: | 936102633 |
| Phone Number: | 2098274747 |
| Fax Number: | 2098275831 |
| NPI Enumeration Date: | 11/19/2014 |
| NPI Last Update Date: | 01/16/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR1300X |
| License Number: | A29593 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rural Health |
| Taxonomy Definition: | |