Mchenry Surgery Center

LBN: Mchenry Surgery Center
Mchenry Surgery Center is an health care organization with primary practice located at 1524 Mchenry Ave Suite 240, Modesto CA 95350-4500. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty. Mchenry Surgery Center can be contacted via phone (209) 576-2900, or through Medeiros, Dana via phone (209) 576-2900.

Contact Information

Primary practice address
1524 Mchenry Ave Suite 240 Modesto CA 95350-4500
Phone: (209) 576-2900
Fax: (209) 576-7319
Website:
Map and Directions
Authorized official contact:
Name: Medeiros, Dana
Phone: (209) 576-2900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X California

Profile Details

NPI number 1457397390
LBN Legal business name Mchenry Surgery Center
DBA Doing business as
Authorized official Medeiros, Dana
Entity Organization
Organization subpart 1 No
Enumeration date Jun 21st, 2006
Last updated Aug 22nd, 2020 - about 4 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 1457397390 NPPES
California MEDICAID SUR01026G

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