| Merced Faculty Associates Medical Group Incorporated | |
|
9696 Stephens St Delhi CA 95315-9550 | |
| (209) 667-0702 | |
| (209) 667-6737 |
| Full Name | Merced Faculty Associates Medical Group Incorporated |
|---|---|
| Speciality | Family Medicine |
| Location | 9696 Stephens St, Delhi, California |
| Authorized Official Name and Position | Rebecca L. Shaw (CEO) |
| Authorized Official Contact | 2097231920 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Merced Faculty Associates Medical Group Incorporated Po Box 3768 Merced CA 95344-3768 Ph: (209) 725-7149 | Merced Faculty Associates Medical Group Incorporated 9696 Stephens St Delhi CA 95315-9550 Ph: (209) 667-0702 |
| NPI Number | 1821205469 |
|---|---|
| Provider Enumeration Date | 05/16/2007 |
| Last Update Date | 07/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821205469 | NPI | - | NPPES |
| HAP03965G | Medicaid | CA | |
| ZZZ61445Z | Other | CA | BLUE SHIELD GROUP |
| CS1342 | Other | GA | RAILROAD MEDICARE |
| RHM03965G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Livingston Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16233 King St, Delhi, CA 95315 Phone: 209-394-7913 Fax: 209-394-9093 |