Krishnamoorthi MD Inc a Professional Medical Corporation
Doing business as Krishnamoorthi MD Inc, a Professional Medical Corp
Rural health clinic in Waterford, CA, Medicare certification number 553829.
Medicare certification
Provider of Services- CCN
- 553829
- Status
- Active
- Provider type
- Rural health clinic
- Control type
- 1B
- Participating since
- Jul 18, 1994
- Last certification
- Aug 31, 2017
- Most recent change of ownership
- Apr 1, 2007 (2 total)
- Address
- 324 F Street
Waterford, CA 95386
(209) 874-2321
NPI records for this facility (CCN to NPI Mapping) 1
-
- Rural Health Clinic/Center
- Waterford, CA
- NPI 1316098205
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.