Emmanuel Medical Group
LBN: Emanuel Medical Group, Inc.
Emmanuel Medical Group is an health care organization with primary practice located at 2121 Colorado Ave Suite C, Turlock CA 95382-2012. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty.
Emanuel Medical Group, Inc. can be contacted via phone (209) 664-5175, or through Johnson, Thomas Kirk via phone (209) 664-5150.
Contact Information
Primary practice address
2121 Colorado Ave Suite C
Turlock CA 95382-2012
Phone: (209) 664-5175
Fax: (209) 669-4684
Website:
Authorized official contact:
Name: Johnson, Thomas Kirk Doctor of Medicine (MD)
Phone: (209) 664-5150
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2854800000 | California |
Profile Details
NPI number | 1275764615 |
---|---|
LBN Legal business name | Emanuel Medical Group, Inc. |
DBA Doing business as | Emmanuel Medical Group |
Authorized official | Johnson, Thomas Kirk Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Aug 3rd, 2009 |
Last updated | Oct 16th, 2013 - about 12 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 | 1275764615 | NPPES |
California | MEDICAID | 1275764615 |
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