institution
Antelope Valley Community Clinic
Federally Qualified Health Center (FQHC) in Lancaster, California
NPI 1619290624

Antelope Valley Community Clinic is a Federally Qualified Health Center (FQHC) based in Lancaster, CA and is specialized in Federally Qualified Health Center (FQHC). Antelope Valley Community Clinic practices in Lancaster, CA. The NPI Number for Antelope Valley Community Clinic is 1619290624 and holds a License No. 550001131 (California).

The current practice location address for Antelope Valley Community Clinic is 45104 10Th St W, Lancaster, CA and can be reached out via phone at 661-942-2391 and via fax at 661-902-6839.

Location: 45104 10Th St W, Lancaster, CA, 93534-2382
institution
Provider Profile Details
NPI Number
1619290624
Provider Name
Antelope Valley Community Clinic
Credential
Provider Entity Type
Organization
Address
45104 10Th St W, Lancaster, CA, 93534-2382
Phone Number
661-942-2391
Fax Number
661-902-6839
Provider Enumeration Date
03/04/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
CT556A 01 MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
45104 10Th St W
City
State
Zip
93534-2310
Phone Number
661-942-2391
Fax Number
661-902-6839
person
Provider Business Mailing Address Details
Address
45104 10Th St W
City
State
Zip
93534-2310
Phone Number
661-942-2391
Fax Number
661-902-6839
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
550001131 (California)
Definition
Definition to come...
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