| Merced Faculty Associates Medical Group Incorporated | |
|
19901 1st St Suite 4 Hilmar CA 95324-9071 | |
| (209) 656-8701 | |
| (209) 656-8704 |
| Full Name | Merced Faculty Associates Medical Group Incorporated |
|---|---|
| Speciality | Family Medicine |
| Location | 19901 1st St, Hilmar, California |
| Authorized Official Name and Position | Timothy S. Johnston (PRESIDENT) |
| Authorized Official Contact | 2097233704 |
| 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) 656-8701 | Merced Faculty Associates Medical Group Incorporated 19901 1st St Suite 4 Hilmar CA 95324-9071 Ph: (209) 656-8701 |
| NPI Number | 1982645354 |
|---|---|
| Provider Enumeration Date | 06/09/2006 |
| Last Update Date | 07/15/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982645354 | NPI | - | NPPES |
| ZZZ61446Z | Other | CA | BLUE SHIELD GROUP |
| GR0080980 | Medicaid | CA | |
| CS1342 | Other | GA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Livingston Community Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7970 Lander Ave, Suite A, Hilmar, CA 95324 Phone: 209-262-1819 Fax: 209-262-1817 | |
Ronald V. Bjarnason Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8397 N. Lander Ave, Hilmar, CA 95324 Phone: 209-669-2655 Fax: 209-669-2657 |