NPI | 1124533492 |
---|---|
Other Name | CAMARENA HEALTH MADERA SOUTH HIGH SCHOOL: SBHC |
Entity Type | Organization |
Authorized Contact | LUZVINDA GABRIELA MARTINEZ Billing Supervisor 559-664-4000 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-12-08 |
Last Update Date | 2018-05-11 |