Mangrove Lab & Xray

LBN: Mangrove Medical Group
Mangrove Lab & Xray is an health care organization with primary practice located at 1040 Mangrove Ave , Chico CA 95926-3509. The organization recently has 8 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Gynecology, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Radiology, Mammography, Laboratories / Clinical Medical Laboratory, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Mangrove Medical Group can be contacted via phone (530) 345-0064, or through Mullins, Elizabeth A via phone (530) 345-0064.

Contact Information

Primary practice address
1040 Mangrove Ave Chico CA 95926-3509
Phone: (530) 345-0064
Fax: (530) 345-0680
Website:
Map and Directions
Authorized official contact:
Name: Mullins, Elizabeth A
Phone: (530) 345-0064

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X California
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X
Allopathic & Osteopathic Physicians / General Practice 208D00000X California
Ambulatory Health Care Facilities / Radiology, Mammography 261QR0206X RHC 110619 California
Laboratories / Clinical Medical Laboratory 291U00000X 05DO644223 California
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X California

Profile Details

NPI number 1326038381
LBN Legal business name Mangrove Medical Group
DBA Doing business as Mangrove Lab & Xray
Authorized official Mullins, Elizabeth A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2005
Last updated Jan 4th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1326038381 NPPES
California Other 470000743 RAILROAD MEDICARE

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