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Contact Information

MCHENRY MEDICAL GROUP, INC.
200 COTTAGE AVE
SUTE 101
MANTECA, CA95336-4935
 Phone: 209-239-6005
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
 

Pediatric Urology

2088P0231X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for MCHENRY MEDICAL GROUP, INC.

NPI Number 1912183153
LBN Legal business name MCHENRY MEDICAL GROUP, INC.
Authorized official HARRIS GOODMAN - (CHAIR)
Entity Organization
Organization subpart 1 No
Enumeration date 01/17/2008
Last updated 01/17/2008 - About 18 years ago
Identifiers
CA Other ZZZ48224Z MEDICARE #
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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