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MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED NPI 1982645354


NPI Information

NPI: 1982645354
Provider Name: MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED

Doing Business As: HILMAR FAMILY MEDICAL CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0941968

Address:
19901 1ST ST
SUITE 4
HILMAR, CA
ZIP 95324
Phone: (209) 656-8701
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MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED is a family medicine in Hilmar, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED NPI is 1982645354. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hilmar Family Medical Center.

The provider's business location address is:

19901 1ST ST
SUITE 4
HILMAR, CA
ZIP 95324-071
Phone: (209) 656-8701
Fax: (209) 656-8704

The provider's authorized official is Timothy S. Johnston .
The authorized official title is President and has the following contact phone number (209) 723-3704.

The CLIA number assigned to this NPI record is 05D0941968 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 7/15/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CS1342OTHERGEORGIARAILROAD MEDICARE
2ZZZ61446ZOTHERCALIFORNIABLUE SHIELD GROUP
3GR0080980MEDICAIDCALIFORNIA
4ZZZ13811ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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