Mathiesen Memorial Health Clinic
NPI #1255595484 in Jamestown, California
Provider Information
- NPI Number
- 1255595484
- Entity Type
- Organization
- Organization Name
- Mathiesen Memorial Health Clinic
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 16, 2008
- Last Updated
- Jul 25, 2023
Practice Location
- Address
- 18144 SECO ST
- City
- Jamestown
- State
- California
- ZIP Code
- 95327-9737
- Phone
- (209) 984-4820
Authorized Official
- Name
- JACQUELINE KISS
- Title
- CREDENTIALING
- Phone
- (254) 760-0228
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
| Clinic/Center - Primary Care — Primary Care |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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