Capital City Medical Group
LBN: Capitol City Medical Group, Inc
Capital City Medical Group is an health care organization with primary practice located at 500 University Ave Suite 200, Sacramento CA 95825-6523. The organization recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Bone Densitometry, Ambulatory Health Care Facilities / Primary Care. Technologists, Technicians & Other Technical Service Providers / Bone Densitometry is the primary health care specialty.
Capitol City Medical Group, Inc can be contacted via phone (916) 920-1200, or through Ullery, Rose Mary via phone (916) 920-1200.
Contact Information
Primary practice address
500 University Ave Suite 200
Sacramento CA 95825-6523
Phone: (916) 920-1200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Bone Densitometry | 2471B0102X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1447238092 |
|---|---|
| LBN Legal business name | Capitol City Medical Group, Inc |
| DBA Doing business as | Capital City Medical Group |
| Authorized official | Ullery, Rose Mary |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 4th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447238092 | NPPES |
| California | MEDICAID | GR0088950 | |
| California | Other | ZZZ61216Z |
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