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Contact Information

MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED
3365 G ST
SUITE 101
MERCED, CA95340-0994
 Phone: 209-205-1086
 Fax: 209-383-2811
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endoscopy

261QE0800X
 

Ambulatory Surgical

261QA1903X 49 Ambulatory Surgical Center
Indicates primary specialty

NPI Profile & details for MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED

NPI Number 1174552632
LBN Legal business name MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED
Authorized official REBECCA SHAW - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 06/30/2006
Last updated 07/21/2014 - About 12 years ago
Identifiers
CA Other ZZZH2406Z BLUE SHIELD PIN
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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