Fred Adams M.D. Inc

LBN: Fred Adams M.D. Inc
Fred Adams M.D. Inc is an health care organization with primary practice located at 1400 Florida Ave Suite 205 A, Modesto CA 95350-4422. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Fred Adams M.D. Inc can be contacted via phone (209) 575-5844, or through Adams, Fred via phone (209) 575-5844.

Contact Information

Primary practice address
1400 Florida Ave Suite 205 A Modesto CA 95350-4422
Fax: (209) 575-5846
Website:
Authorized official contact:
Name: Adams, Fred Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X A320550 California

Profile Details

NPI number 1447597596
LBN Legal business name Fred Adams M.D. Inc
DBA Doing business as
Authorized official Adams, Fred Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2013
Last updated Jan 9th, 2013 - 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 1447597596 NPPES
California MEDICAID 00A320550

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