MEDESTATE INC. NPI 1508946476

NPI Information

NPI: 1508946476
Provider Name: MEDESTATE INC.

Doing Business As: EXCELCARE IMMEDIATE CARE CENTER

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
3431 BROADWAY ST
SUITE A-8
AMERICAN CANYON, CA
ZIP 94503
Phone: (707) 645-7229
Get Directions

MEDESTATE INC. is an urgent care clinic center in American Canyon, CA. MEDESTATE INC. NPI is 1508946476. The provider is registered as an organization entity type.
The provider Is Doing Business As Excelcare Immediate Care Center.

The provider's business location address is:

3431 BROADWAY ST
SUITE A-8
AMERICAN CANYON, CA
ZIP 94503-228
Phone: (707) 645-7229
Fax: (707) 645-7431

The provider's authorized official is Kenneth Richard Brooks .
The authorized official title is President / Ceo and has the following contact phone number (707) 645-7229.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 12/29/2011.

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	261QU0200X	Clinic/Center	Urgent Care	00A0627550	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

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