Impact Medical Group, Professional Corporation

LBN: Impact Medical Group, Professional Corporation
Impact Medical Group, Professional Corporation is an health care organization with primary practice located at 5261 E Kings Canyon Rd Suite 107, Fresno CA 93727-4028. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Impact Medical Group, Professional Corporation can be contacted via phone (559) 452-1000, or through Ekelem, Ifeatu via phone (559) 452-1000.

Contact Information

Primary practice address
5261 E Kings Canyon Rd Suite 107 Fresno CA 93727-4028
Fax:
Website:
Authorized official contact:
Name: Ekelem, Ifeatu Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1891999108
LBN Legal business name Impact Medical Group, Professional Corporation
DBA Doing business as
Authorized official Ekelem, Ifeatu Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 12th, 2007
Last updated May 25th, 2016 - about 8 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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