Ukiah Valley Primary Care Medical Group, Inc
LBN: Ukiah Valley Primary Care Medical Group, Inc
Ukiah Valley Primary Care Medical Group, Inc is an health care organization with primary practice located at 260 Hospital Dr. Ste. 207 , Ukiah CA 95482-4533. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty.
Ukiah Valley Primary Care Medical Group, Inc can be contacted via phone (707) 463-8000, or through Mann, Jeremy via phone (707) 463-8000.
Contact Information
Primary practice address
260 Hospital Dr. Ste. 207
Ukiah CA 95482-4533
Phone: (707) 463-8000
Fax: (707) 462-1111
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Multi-Specialty | 261QM1300X |
Profile Details
| NPI number | 1699759332 |
|---|---|
| LBN Legal business name | Ukiah Valley Primary Care Medical Group, Inc |
| DBA Doing business as | |
| Authorized official | Mann, Jeremy Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 6th, 2005 |
| Last updated | Jun 3rd, 2009 - about 15 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 | 1699759332 | NPPES |
| California | MEDICAID | GR0067100 | |
| California | MEDICAID | RHM03947G | |
| California | MEDICAID | GPT000830 |
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