Capitol Urology Medical Group Inc

LBN: Capitol Urology Medical Group Inc
Capitol Urology Medical Group Inc is an health care organization with primary practice located at 1561 Creekside Dr Suite 170, Folsom CA 95630. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Ambulatory Health Care Facilities / Medical Specialty. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty. Capitol Urology Medical Group Inc can be contacted via phone (916) 983-5557, or through Myers, Joyce via phone (916) 983-5557.

Contact Information

Primary practice address
1561 Creekside Dr Suite 170 Folsom CA 95630
Fax: (916) 983-7878
Website:
Authorized official contact:
Name: Myers, Joyce

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X G59349 California

Profile Details

NPI number 1306867213
LBN Legal business name Capitol Urology Medical Group Inc
DBA Doing business as
Authorized official Myers, Joyce
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2006
Last updated Nov 25th, 2008 - about 16 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 1306867213 NPPES
California MEDICAID GR0065840

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