Beaver Medical Group - Primary Care North

LBN: Beaver Medical Group
Beaver Medical Group - Primary Care North is an health care organization with primary practice located at 2 W Fern Ave , Redlands CA 92373-5916. The organization recently has only one registered license in Suppliers / Non-Pharmacy Dispensing Site, which is considered as the primary health care specialty. Beaver Medical Group can be contacted via phone (909) 793-3311, or through Heine, Kenny via phone (858) 964-1506.

Contact Information

Primary practice address
2 W Fern Ave Redlands CA 92373-5916
Phone: (909) 793-3311
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Heine, Kenny
Phone: (858) 964-1506

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Non-Pharmacy Dispensing Site 332900000X G58102 California

Profile Details

NPI number 1528312089
LBN Legal business name Beaver Medical Group
DBA Doing business as Beaver Medical Group - Primary Care North
Authorized official Heine, Kenny
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 6th, 2012
Last updated Nov 6th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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