LUCERNE COMMUNITY CLINIC; NPI #1376609198

Contact Information

LUCERNE COMMUNITY CLINIC

6300 E. HWY 20
LUCERNE, CA 95458

Phone: 707-274-9299
Fax: 707-274-9297
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Rural Health	261QR1300X	B4[14]	Rural Health Clinic

Indicates primary specialty

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NPI Profile & details for LUCERNE COMMUNITY CLINIC

NPI Number 1376609198

LBN Legal business name LUCERNE COMMUNITY CLINIC

Authorized official ROBERT GARDNER - (MEDICAL DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/28/2006

Last updated 06/17/2008 - About 18 years ago

Identifiers

Medicaid

RHM53967F

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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