INDEPENDENT PHYSICIAN MEDICAL ASSOCIATES NPI 1316023013

NPI Information

NPI: 1316023013
Provider Name: INDEPENDENT PHYSICIAN MEDICAL ASSOCIATES

Doing Business As: ALLCARE IPA

Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
3340 TULLY RD
STE B-4
MODESTO, CA
ZIP 95350
Phone: (209) 550-5200
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INDEPENDENT PHYSICIAN MEDICAL ASSOCIATES is a multi-specialty clinic center in Modesto, CA. INDEPENDENT PHYSICIAN MEDICAL ASSOCIATES NPI is 1316023013. The provider is registered as an organization entity type.
The provider Is Doing Business As Allcare Ipa.

The provider's business location address is:

3340 TULLY RD
STE B-4
MODESTO, CA
ZIP 95350-838
Phone: (209) 550-5200
Fax: (209) 338-5644

The provider's authorized official is Matt K Coury .
The authorized official title is Chief Operating Officer and has the following contact phone number (209) 550-5235.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 8/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty	G41324	CALIFORNIA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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