Benacare Medical Center, Inc

LBN: Benacare Medical Center, Inc
Benacare Medical Center, Inc is an health care organization with primary practice located at 984 W Foothill Blvd , Upland CA 91786-3700. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Benacare Medical Center, Inc can be contacted via phone (909) 373-8222, or through Benavidez, Melinda via phone (909) 373-8222.

Contact Information

Primary practice address
984 W Foothill Blvd Upland CA 91786-3700
Phone: (909) 373-8222
Fax: (877) 803-0308
Website:
Map and Directions
Authorized official contact:
Name: Benavidez, Melinda
Phone: (909) 373-8222

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A6396 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A8664 California

Profile Details

NPI number 1427101369
LBN Legal business name Benacare Medical Center, Inc
DBA Doing business as
Authorized official Benavidez, Melinda
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Apr 2nd, 2014 - about 11 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 1427101369 NPPES
California MEDICAID 00AX63960

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