Primary Care Associates Of The Redwood Empire Medical Group, Inc.

LBN: Primary Care Associates Of The Redwood Empire Medical Group, Inc.
Primary Care Associates Of The Redwood Empire Medical Group, Inc. is an health care organization with primary practice located at 500 Doyle Park Dr Suite 200, Santa Rosa CA 95405-4558. The organization recently has 6 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty. Primary Care Associates Of The Redwood Empire Medical Group, Inc. can be contacted via phone (707) 545-1300, or through Greaves, Lyman Bowen via phone (707) 545-1300.

Contact Information

Primary practice address
500 Doyle Park Dr Suite 200 Santa Rosa CA 95405-4558
Phone: (707) 545-1300
Fax: (707) 303-8304
Website:
Map and Directions
Authorized official contact:
Name: Greaves, Lyman Bowen Doctor of Medicine (MD)
Phone: (707) 545-1300

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X California
Allopathic & Osteopathic Physicians / Pediatrics 208000000X California
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X California
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X California
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X California

Profile Details

NPI number 1245348820
LBN Legal business name Primary Care Associates Of The Redwood Empire Medical Group, Inc.
DBA Doing business as
Authorized official Greaves, Lyman Bowen Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 25th, 2006
Last updated Jun 21st, 2018 - about 7 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 1245348820 NPPES
California MEDICAID GR0061380
California MEDICAID GR0061383
California MEDICAID GR0061381
California MEDICAID GR0061382

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