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Coalinga Medical Center, Llc
Meals Provider in Coalinga, California
NPI 1184655052

Coalinga Medical Center, Llc is a Meals Provider based in Modesto, CA. Coalinga Medical Center, Llc practices in Coalinga, CA. The NPI Number for Coalinga Medical Center, Llc is 1184655052 and holds a License No. (California).

The current practice location address for Coalinga Medical Center, Llc is 1191 Phelps Ave, Coalinga, CA and can be reached out via phone at 559-935-6562 and via fax at 559-935-6596. You can also correspond with Coalinga Medical Center, Llc through the mailing address at 700 17TH ST STE 205, MODESTO, CA - 95354-1249 (mailing address contact number: 209-287-6308).

Location: 1191 Phelps Ave, Coalinga, CA, 95354-1249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184655052
Provider Name
Coalinga Medical Center, Llc
Credential
Provider Entity Type
Organization
Address
1191 Phelps Ave, Coalinga, CA, 95354-1249
Phone Number
559-935-6562
Fax Number
559-935-6596
Provider Enumeration Date
07/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HSP40397F 05 CA
ZZR00397F 05 CA
LTC55539F 05 CA
institution
Provider Business Practice Location Address Details
Address
1191 Phelps Ave
City
Coalinga
State
California
Zip
93210-9609
Phone Number
559-935-6562
Fax Number
559-935-6596
person
Provider Business Mailing Address Details
Address
700 17Th St Ste 205
City
Modesto
State
California
Zip
95354-1249
Phone Number
209-287-6308
Fax Number
209-248-7825
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Meals
Speciality
-
Taxonomy
174200000X
License No.
()
Definition
A public or privately owned facility providing meals to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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