Windy City Medical Clinic A Professional Corporation

LBN: Windy City Medical Clinic A Professional Corporation
Windy City Medical Clinic A Professional Corporation is an health care organization with primary practice located at 525 Melissa Ave Ste A , Barstow CA 92311-3002. The organization recently has only one registered license in Ambulatory Health Care Facilities / Primary Care, which is considered as the primary health care specialty. Windy City Medical Clinic A Professional Corporation can be contacted via phone (760) 255-2400, or through Alva, Kathy A via phone (760) 957-7510.

Contact Information

Primary practice address
525 Melissa Ave Ste A Barstow CA 92311-3002
Phone: (760) 255-2400
Fax: (760) 957-7517
Website:
Map and Directions
Authorized official contact:
Name: Alva, Kathy A
Phone: (760) 957-7510

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Primary Care 261QP2300X California

Profile Details

NPI number 1164567426
LBN Legal business name Windy City Medical Clinic A Professional Corporation
DBA Doing business as
Authorized official Alva, Kathy A
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Dec 29th, 2014 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1164567426 NPPES
California MEDICAID 00G778041

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