| NPI | 1619553500 |
|---|---|
| Doing Business As | COMMUNITY MEDICAL CENTERS, OUTREACH VAN |
| Entity Type | Organization |
| Authorized Contact | CHRISTINE NOGUERA CEO 209-373-2831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2021-03-22 |