Organization Name: | FIRST CARE MEDICAL ASSOCIATES INC |
NPI Number: | 1629175856 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSIE E CORPUS (PRESIDENT/CEO) |
Mailing Address: | 750 E Walker St Ste A Orland |
State: | CA US |
Postal Code: | 959632222 |
Phone Number: | 5308654400 |
Fax Number: | 5308657285 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 08/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |