Northern California Medical Assoc Inc
LBN: Northern California Medical Assoc Inc
Northern California Medical Assoc Inc is an health care organization with primary practice located at 153 W Spruce St , Fort Bragg CA 95437-3024. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is the primary health care specialty.
Northern California Medical Assoc Inc can be contacted via phone (707) 462-1516, or through Skidmore, Ruth A via phone (707) 573-6925.
Contact Information
Primary practice address
153 W Spruce St
Fort Bragg CA 95437-3024
Phone: (707) 462-1516
Fax: (707) 462-1178
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | ||
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | ||
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X |
Profile Details
| NPI number | 1225330459 |
|---|---|
| LBN Legal business name | Northern California Medical Assoc Inc |
| DBA Doing business as | |
| Authorized official | Skidmore, Ruth A |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 19th, 2010 |
| Last updated | Feb 9th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225330459 | NPPES |
| California | Other | ZZZ36793Z | BLUE SHIELD |
| California | MEDICAID | 1225330459 | BLUE SHIELD |
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