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 240 Hospital Dr Ste A , Ukiah CA 95482-4558. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, 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 Antle, Darcie Anne via phone (707) 463-8000.

Contact Information

Primary practice address
240 Hospital Dr Ste A Ukiah CA 95482-4558
Phone: (707) 463-8000
Fax: (707) 463-8006
Website:
Map and Directions
Authorized official contact:
Name: Antle, Darcie Anne
Phone: (707) 463-8000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X A43219 California

Profile Details

NPI number 1902038573
LBN Legal business name Ukiah Valley Primary Care Medical Group, Inc
DBA Doing business as
Authorized official Antle, Darcie Anne
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2009
Last updated Aug 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902038573 NPPES
California MEDICAID 00A432190
California MEDICAID 1609874445

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