Agave Medical Fl Pa

LBN: Agave Medical Fl Pa
Agave Medical Fl Pa is an health care organization with primary practice located at 16397 Road 37 , Madera CA 93636-8224. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Health, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Agave Medical Fl Pa can be contacted via phone (510) 871-5025, or through Scahill, Michael Dominic via phone (510) 871-5025.

Contact Information

Primary practice address
16397 Road 37 Madera CA 93636-8224
Phone: (510) 871-5025
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Scahill, Michael Dominic Doctor of Medicine (MD)
Phone: (510) 871-5025

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Health 103TH0004X
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1790530822
LBN Legal business name Agave Medical Fl Pa
DBA Doing business as
Authorized official Scahill, Michael Dominic Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2024
Last updated Apr 22nd, 2024 - about 5 months 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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