Mfa Lifetime Health Care

LBN: Merced Faculty Associates Medical Group Incorporated
Mfa Lifetime Health Care is an health care organization with primary practice located at 374 W Olive Ave Ste B , Merced CA 95348-3137. 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) 383-3076, or through Shaw, Rebecca via phone (209) 723-1920.

Contact Information

Primary practice address
374 W Olive Ave Ste B Merced CA 95348-3137
Fax: (209) 383-6301
Website:
Authorized official contact:
Name: Shaw, Rebecca

Health care specialties

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

Profile Details

NPI number 1619176245
LBN Legal business name Merced Faculty Associates Medical Group Incorporated
DBA Doing business as Mfa Lifetime Health Care
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 1619176245 NPPES
California Other ZZZ50965A BLUE SHIELD GROUP
California Other CS1342 BLUE SHIELD GROUP
California MEDICAID GR0085240 BLUE SHIELD GROUP

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