Providence Medical Group

LBN: Providence Medical Group
Providence Medical Group is an health care organization with primary practice located at 1806 Wadsworth Avenue , Bakersfield CA 93311. The organization recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as the primary health care specialty. Providence Medical Group can be contacted via phone (805) 748-1687, or through Tate, Matthew via phone (805) 748-1687.

Contact Information

Primary practice address
1806 Wadsworth Avenue Bakersfield CA 93311
Phone: (805) 748-1687
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Tate, Matthew Physician's Assistant Certified (PA-C)
Phone: (805) 748-1687

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X PA19685 California

Profile Details

NPI number 1194196832
LBN Legal business name Providence Medical Group
DBA Doing business as
Authorized official Tate, Matthew Physician's Assistant Certified (PA-C)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2015
Last updated Oct 7th, 2015 - about 11 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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