Peachwood Medical Group Clovis Inc

LBN: Peachwood Medical Group Clovis Inc
Peachwood Medical Group Clovis Inc is an health care organization with primary practice located at 275 W Herndon Ave , Clovis CA 93612-0204. The organization recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice, Ambulatory Health Care Facilities / Urgent Care. Allopathic & Osteopathic Physicians / General Practice is the primary health care specialty. Peachwood Medical Group Clovis Inc can be contacted via phone (559) 324-6200, or through Copeland, Lee Roy via phone (559) 324-6200.

Contact Information

Primary practice address
275 W Herndon Ave Clovis CA 93612-0204
Phone: (559) 324-6200
Fax: (559) 324-6280
Website:
Map and Directions
Authorized official contact:
Name: Copeland, Lee Roy Doctor of Medicine (MD)
Phone: (559) 324-6200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / General Practice 208D00000X
Ambulatory Health Care Facilities / Urgent Care 261QU0200X

Profile Details

NPI number 1831170745
LBN Legal business name Peachwood Medical Group Clovis Inc
DBA Doing business as
Authorized official Copeland, Lee Roy Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2005
Last updated Mar 23rd, 2010 - about 16 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 1831170745 NPPES
California MEDICAID GR0066590

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