Lucerne Community Clinic

LBN: Lucerne Community Clinic
Lucerne Community Clinic is an health care organization with primary practice located at 6300 E. Hwy 20 , Lucerne CA 95458. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty. Lucerne Community Clinic can be contacted via phone (707) 274-9299, or through Gardner, Robert William via phone (707) 274-9299.

Contact Information

Primary practice address
6300 E. Hwy 20 Lucerne CA 95458
Phone: (707) 274-9299
Fax: (707) 274-9297
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Robert William Doctor of Medicine (MD)
Phone: (707) 274-9299

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rural Health 261QR1300X

Profile Details

NPI number 1376609198
LBN Legal business name Lucerne Community Clinic
DBA Doing business as
Authorized official Gardner, Robert William Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 28th, 2006
Last updated Jun 17th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376609198 NPPES
California MEDICAID RHM53967F

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