Mchenry Medical Group Inc

LBN: Mchenry Medical Group Inc
Mchenry Medical Group Inc is an health care organization with primary practice located at 1541 Florida Avenue Suite 200, Modesto CA 95350. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Mchenry Medical Group Inc can be contacted via phone (209) 577-3388, or through Goodman, Harris Michael via phone (209) 577-3388.

Contact Information

Primary practice address
1541 Florida Avenue Suite 200 Modesto CA 95350
Phone: (209) 577-3388
Fax: (209) 342-3743
Website:
Map and Directions
Authorized official contact:
Name: Goodman, Harris Michael Doctor of Medicine (MD)
Phone: (209) 577-3388

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Urology 208800000X
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X

Profile Details

NPI number 1205859154
LBN Legal business name Mchenry Medical Group Inc
DBA Doing business as
Authorized official Goodman, Harris Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2006
Last updated Jan 18th, 2008 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205859154 NPPES
California Other ZZZ48224Z MEDICARE #

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