Great Medical Llc

LBN: Great Medical Llc
Great Medical Llc is an health care organization with primary practice located at 9591 Foothill Blvd , Rancho Cucamonga CA 91730-3506. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Health Service. Ambulatory Health Care Facilities / Health Service is the primary health care specialty. Great Medical Llc can be contacted via phone (909) 747-4531, or through Williams, Charles Jerod via phone (919) 939-5111.

Contact Information

Primary practice address
9591 Foothill Blvd Rancho Cucamonga CA 91730-3506
Phone: (909) 747-4531
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams, Charles Jerod REGISTERED NURSE
Phone: (919) 939-5111

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X
Ambulatory Health Care Facilities / Health Service 261QH0100X

Profile Details

NPI number 1073106027
LBN Legal business name Great Medical Llc
DBA Doing business as
Authorized official Williams, Charles Jerod REGISTERED NURSE
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2021
Last updated Feb 19th, 2021 - about 3 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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