1710199674 ANTELOPE VALLEY COMMUNITY CLINIC

Federally Qualified Health Center (FQHC)

Active

Basic Information

Organization Name
ANTELOPE VALLEY COMMUNITY CLINIC
Enumeration Date
May 4, 2007
Last Update
September 12, 2013
Authorized Official
MR. JAMES A. COOK MSW
CEO
Phone: (661) 942-2391

Practice Location

Address
45104 10TH ST W
LANCASTER, CA 935342310
Phone
(661) 942-2391
Fax
(661) 902-6839

Mailing Address

Address
45074 10TH ST W
SUITE 109
LANCASTER, CA 935342371
Phone
(661) 942-2391
Fax
(661) 902-6839

Specialties & Taxonomies

Specialty Code Classification License State Primary
Federally Qualified Health Center (FQHC)
Federally Qualified Health Center (FQHC)
261QF0400X Clinic/Center 060000428 CA Primary

Other Identifiers

Identifier Type State Issuer
CMM70633H 01 CA MEDI-CAL
CT556A 01 CA MEDICARE PTAN

Frequently Asked Questions

What is ANTELOPE VALLEY COMMUNITY CLINIC's NPI number?
ANTELOPE VALLEY COMMUNITY CLINIC's NPI number is 1710199674.
Which doctor has NPI number 1710199674?
The doctor with NPI number 1710199674 is ANTELOPE VALLEY COMMUNITY CLINIC.
What is ANTELOPE VALLEY COMMUNITY CLINIC's practice address?
ANTELOPE VALLEY COMMUNITY CLINIC's practice address is 45104 10TH ST W, LANCASTER, CA, 935342310.
Which doctor practices at 45104 10TH ST W, LANCASTER, CA, 935342310?
ANTELOPE VALLEY COMMUNITY CLINIC practices at 45104 10TH ST W, LANCASTER, CA, 935342310.
What is ANTELOPE VALLEY COMMUNITY CLINIC's mailing address?
ANTELOPE VALLEY COMMUNITY CLINIC's mailing address is 45074 10TH ST W, SUITE 109, LANCASTER, CA, 935342371.
What is ANTELOPE VALLEY COMMUNITY CLINIC's phone number?
ANTELOPE VALLEY COMMUNITY CLINIC's phone number is (661) 942-2391.
Who is (661) 942-2391?
(661) 942-2391 is the phone number for ANTELOPE VALLEY COMMUNITY CLINIC.
What is ANTELOPE VALLEY COMMUNITY CLINIC's specialty?
ANTELOPE VALLEY COMMUNITY CLINIC's specialty is Federally Qualified Health Center (FQHC).
What type of doctor is ANTELOPE VALLEY COMMUNITY CLINIC?
ANTELOPE VALLEY COMMUNITY CLINIC is a Federally Qualified Health Center (FQHC).
Is ANTELOPE VALLEY COMMUNITY CLINIC a Federally Qualified Health Center (FQHC)?
Yes, ANTELOPE VALLEY COMMUNITY CLINIC is a Federally Qualified Health Center (FQHC).
Is ANTELOPE VALLEY COMMUNITY CLINIC still practicing?
Yes, ANTELOPE VALLEY COMMUNITY CLINIC is currently practicing.
Is ANTELOPE VALLEY COMMUNITY CLINIC accepting new patients?
ANTELOPE VALLEY COMMUNITY CLINIC may be accepting new patients. Please call their office at (661) 942-2391 to inquire about availability.
Is NPI 1710199674 still active?
Yes, NPI 1710199674 is currently active.
Where does ANTELOPE VALLEY COMMUNITY CLINIC practice?
ANTELOPE VALLEY COMMUNITY CLINIC practices in LANCASTER, CA.