Mfa Parkside

LBN: Merced Faculty Associates Medical Group Incorporated
Mfa Parkside is an health care organization with primary practice located at 535 W 25Th St , Merced CA 95340-2801. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Merced Faculty Associates Medical Group Incorporated can be contacted via phone (209) 722-9066, or through Shaw, Rebecca via phone (209) 723-1920.

Contact Information

Primary practice address
535 W 25Th St Merced CA 95340-2801
Phone: (209) 722-9066
Fax: (209) 383-1522
Website:
Map and Directions
Authorized official contact:
Name: Shaw, Rebecca
Phone: (209) 723-1920

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1053510685
LBN Legal business name Merced Faculty Associates Medical Group Incorporated
DBA Doing business as Mfa Parkside
Authorized official Shaw, Rebecca
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2007
Last updated Jul 15th, 2014 - about 10 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 1053510685 NPPES
California MEDICAID GR0041482 MEDI-CAL GROUP NUMBER
California Other CS1342 MEDI-CAL GROUP NUMBER
California Other ZZZ61443Z MEDI-CAL GROUP NUMBER

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