CM
Medical Clinic
COMMUNITY MEDICAL CENTERS, MOBILE UNIT 104
2650 WIGWAM DR, UNIT O, STOCKTON, CA 95205
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- 751148
- LTC
- NON-LTC
- NPI
- 1285059923
- ZIP
- 95205
- id
- 11311
- CITY
- STOCKTON
- FLAG
- USE PARENT MATCH
- ZIP9
- 2460
- rank
- 0.0706241
- AO CD
- Not reported
- FACID
- 630025408
- DEEMED
- 0
- T18 19
- Not reported
- ADDRESS
- 2650 WIGWAM DR, UNIT O
- AO NAME
- Not reported
- FACNAME
- COMMUNITY MEDICAL CENTERS, MOBILE UNIT 104
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- Not reported
- CAPACITY
- 0
- LATITUDE
- 37.986912
- LOCATION
- (-121.256775,37.986912)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- N
- LONGITUDE
- -121.256775
- CCLHO CODE
- 39
- CCLHO NAME
- SAN JOAQUIN
- START DATE
- 05JAN2022
- TRAUMA CTR
- Not reported
- ASPEN FACID
- CA630015722
- COUNTY CODE
- 490
- COUNTY NAME
- SAN JOAQUIN
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- 630015722
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- 2015-06-05T00:00:00
- BUSINESS NAME
- COMMUNITY MEDICAL CENTERS, INC.
- DISTRICT NAME
- SACRAMENTO
- FAC TYPE CODE
- COMTYC
- LICENSE NUMBER
- 550003006
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 3
- FIPS COUNTY CODE
- 6077
- LICENSED CERTIFIED
- LICENSED AND CERTIFIED
- PARTICIPATION DATE
- 2014-11-14T00:00:00
- CONTACT PHONE NUMBER
- Not reported
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 2015-03-13T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- N
- LICENSE EFFECTIVE DATE
- 2026-03-13T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2027-03-12T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- Y
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- INTERMITTENT CLINIC
COMMUNITY EXPERIENCE
Reviews of COMMUNITY MEDICAL CENTERS, MOBILE UNIT 104
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