Med-1 Medical Center Professional Corporation

LBN: Med-1 Medical Center Professional Corporation
Med-1 Medical Center Professional Corporation is an health care organization with primary practice located at 3508 Dale Rd , Modesto CA 95356-0552. The organization recently has only one registered license in Ambulatory Health Care Facilities / Corporate Health, which is considered as the primary health care specialty. Med-1 Medical Center Professional Corporation can be contacted via phone (209) 574-1355, or through Russakov, Alan via phone (290) 574-1355.

Contact Information

Primary practice address
3508 Dale Rd Modesto CA 95356-0552
Phone: (209) 574-1355
Fax: (209) 571-8204
Website:
Map and Directions
Authorized official contact:
Name: Russakov, Alan Doctor of Medicine (MD)
Phone: (290) 574-1355

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Corporate Health 261QC1800X G75606 California

Profile Details

NPI number 1275691339
LBN Legal business name Med-1 Medical Center Professional Corporation
DBA Doing business as
Authorized official Russakov, Alan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Aug 22nd, 2020 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1275691339 NPPES
California Other 26254 LICENCE NUMBER
California Other PT23734 LICENCE NUMBER
California Other G75606 LICENCE NUMBER
California Other 13661 LICENCE NUMBER
California Other 16903 LICENCE NUMBER
California Other 18301 LICENCE NUMBER
California Other 26062 LICENCE NUMBER
California Other 27743 LICENCE NUMBER
California Other 28332 LICENCE NUMBER
California Other DC0167900 LICENCE NUMBER
California Other 15489 LICENCE NUMBER
California Other 25608 LICENCE NUMBER
California Other 160480 LICENCE NUMBER
California Other 28612 LICENCE NUMBER
California Other A52975 LICENCE NUMBER
California Other FL32707 LICENCE NUMBER
California Other NP13918 LICENCE NUMBER
California Other G9700 LICENCE NUMBER
California Other CFE33570 LICENCE NUMBER
California Other G66831 LICENCE NUMBER

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