Independence Medical Group

LBN: Independence Medical Group Of Central California, Inc.
Independence Medical Group is an health care organization with primary practice located at 100 Willow Plz Suite 405, Visalia CA 93291-6206. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Independence Medical Group Of Central California, Inc. can be contacted via phone (559) 802-1105, or through Haberkern, Charles via phone (661) 496-5638.

Contact Information

Primary practice address
100 Willow Plz Suite 405 Visalia CA 93291-6206
Phone: (559) 802-1105
Fax: (559) 750-4081
Website:
Map and Directions
Authorized official contact:
Name: Haberkern, Charles
Phone: (661) 496-5638

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X

Profile Details

NPI number 1477796464
LBN Legal business name Independence Medical Group Of Central California, Inc.
DBA Doing business as Independence Medical Group
Authorized official Haberkern, Charles
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2009
Last updated Apr 7th, 2009 - 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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