GETTYSBURG MEDICAL CLINIC, INC.


Address: 3128 E Gettysburg Ave, Fresno, CA 93726-0400
Phone: 5592446360

GETTYSBURG MEDICAL CLINIC, INC. (NPI# 1063519858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063519858
Entity Type Organization
Organization Name GETTYSBURG MEDICAL CLINIC, INC.
Practice Address 3128 E Gettysburg Ave
Fresno
CA 93726-0400
Practice Telephone 5592446360
Practice Fax Number 5592295940
Mailing Telephone 5592446360
Mailing Fax Number 5592295940
Enumeration Date 2006-09-20
Last Update Date 2020-08-22
Authorized Official Name DR. GRACE WEE LIM (PRESIDENT)
Authorized Official Telephone 5592446360
Authorized Official Credential M.D.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1407129349 Gettysburg Medical Clinic, Inc. General Practice 301 E Hillcrest Ave, Fresno, CA 93720-0887 2012-02-22
1023116589 Gettysburg Medical Clinic, Inc. Clinic/Center 143 W Main St, Merced, CA 95340-4930 2006-09-20

Office Location

Street Address 3128 E GETTYSBURG AVE
City FRESNO
State CA
Zip Code 93726-0400

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NPI Name Taxonomy Address Enumeration
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1730676206 Joanne K Groves Counselor 3636 N. First Street, St. 123, Fresno, CA 93726 2018-04-19
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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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Competitor

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City FRESNO
Zip Code 93726

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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