| Intercommunity Medical Group | |
|
1525 Webster St Ste A Fairfield CA 94533 | |
| (907) 423-2510 | |
| (907) 425-4236 |
| Full Name | Intercommunity Medical Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1525 Webster St, Fairfield, California |
| Authorized Official Name and Position | Belinda Lambert (CREDENTIALING OFFICE MANAGER) |
| Authorized Official Contact | 9074232510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Intercommunity Medical Group 1525 Webster St Ste A Fairfield CA 94533 Ph: (907) 423-2510 | Intercommunity Medical Group 1525 Webster St Ste A Fairfield CA 94533 Ph: (907) 423-2510 |
| NPI Number | 1710057781 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710057781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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