Family Health Centre Medical Group Inc

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

00C371720 Issued in CA

Legal business name

FAMILY HEALTH CENTRE MEDICAL GROUP INC

Practice address

686 W Line St
Bishop, CA 93514-3315

Phone

(760) 872-4311

Fax

(760) 872-4130

NPI assigned

May 27, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George Kibler, MD

Title

President

Phone

(760) 872-4311

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243382400000",
    "number": "1437384906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "686 W LINE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143315",
            "telephone_number": "760-872-4311",
            "fax_number": "760-873-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "686 W LINE ST",
            "city": "BISHOP",
            "state": "CA",
            "postal_code": "935143315",
            "telephone_number": "760-872-4311",
            "fax_number": "760-872-4130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY HEALTH CENTRE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A",
        "authorized_official_last_name": "KIBLER",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-872-4311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "00C371720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0021672",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emery Joseph Duncan DDS Apc
• Paulette Erwin
• Jayme Leigh Everhart, FNP-C
• F W Carter & Eric I Richman PTR Dr Carter Dr Richman Optometry
• Family Health Centre Medical Group
• Natalie L Feeney, COUNSELOR TRAINEE
• Leann Fields
• Jennifer Figueroa, PA
• Wendy Lee Fogelstrom, RN
• Becky Annette Franosch, RPH

• Community Health Worker in Bishop, CA
• Providers in Bishop, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.