Machuca Medical
LBN: Machuca Medical Llc
Machuca Medical is an health care organization with primary practice located at 7371 Brandt Pike Ste D , Huber Heights OH 45424-3276. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Machuca Medical Llc can be contacted via phone (937) 795-1101, or through Machuca, Jennifer Lynn via phone (937) 795-1101.
Contact Information
Primary practice address
7371 Brandt Pike Ste D
Huber Heights OH 45424-3276
Phone: (937) 795-1101
Fax: (937) 795-1120
Website:
Authorized official contact:
Name: Machuca, Jennifer Lynn Doctor of Medicine (MD)
Phone: (937) 795-1101
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 92123 | Ohio |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1053861369 |
|---|---|
| LBN Legal business name | Machuca Medical Llc |
| DBA Doing business as | Machuca Medical |
| Authorized official | Machuca, Jennifer Lynn Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 11th, 2016 |
| Last updated | May 16th, 2024 - about 6 months 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 | 1053861369 | NPPES |
| Ohio | MEDICAID | 2893301 | |
| Ohio | Other | 1669694246 | |
| Ohio | Other | 1053861369 | |
| Ohio | Other | MA4253051 | |
| Ohio | Other | H598960 |
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