Mchenry Medical Group, Inc.

LBN: Mchenry Medical Group, Inc.
Mchenry Medical Group, Inc. is an health care organization with primary practice located at 1000 Delbon Ave Suite 2, Turlock CA 95382-2008. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Urology is the primary health care specialty. Mchenry Medical Group, Inc. can be contacted via phone (209) 634-8556, or through Goodman, Harris Michael via phone (209) 577-3388.

Contact Information

Primary practice address
1000 Delbon Ave Suite 2 Turlock CA 95382-2008
Phone: (209) 634-8556
Fax:
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 / Urology 208800000X
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X

Profile Details

NPI number 1649456872
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 Jan 17th, 2008
Last updated Jan 17th, 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 1649456872 NPPES
California Other ZZZ48224Z MEDICARE

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