Southern Tulare Medical Group
LBN: Southern Tulare Medical Group
Southern Tulare Medical Group is an health care organization with primary practice located at 465 W Putnam Ave , Porterville CA 93257-3320. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hematology & Oncology is the primary health care specialty.
Southern Tulare Medical Group can be contacted via phone (559) 784-1110, or through Attoh, Michael via phone (559) 784-1110.
Contact Information
Primary practice address
465 W Putnam Ave
Porterville CA 93257-3320
Phone: (559) 784-1110
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hematology & Oncology | 207RH0003X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X |
Profile Details
| NPI number | 1295913358 |
|---|---|
| LBN Legal business name | Southern Tulare Medical Group |
| DBA Doing business as | |
| Authorized official | Attoh, Michael Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2008 |
| Last updated | Jan 31st, 2008 - about 16 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 | 1295913358 | NPPES |
| California | Other | ZZZ07552Z | BLUE SHIELD OF CALIFORNIA |
| California | MEDICAID | GR0095240 | BLUE SHIELD OF CALIFORNIA |
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