Merced Faculty Associates Medical Group Incorporated

LBN: Merced Faculty Associates Medical Group Incorporated
Merced Faculty Associates Medical Group Incorporated is an health care organization with primary practice located at 127 W El Portal Dr , Merced CA 95348-2853. 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) 723-3704, or through Shaw, Rebecca L via phone (209) 723-1920.

Contact Information

Primary practice address
127 W El Portal Dr Merced CA 95348-2853
Fax: (209) 723-0272
Website:
Authorized official contact:
Name: Shaw, Rebecca L

Health care specialties

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

Profile Details

NPI number 1285623256
LBN Legal business name Merced Faculty Associates Medical Group Incorporated
DBA Doing business as
Authorized official Shaw, Rebecca L
Entity Organization
Organization subpart 1 No
Enumeration date Oct 20th, 2005
Last updated Jan 6th, 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 1285623256 NPPES
California MEDICAID GR0041480
California Other ZZZ28927Z
California Other CS1342

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