Edwin Medina is a Family Medicine in Malta, Montana. Edwin Medina practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Edwin Medina is 1356487201. The last update date is 2023-01-18.
Edwin Medina's current location address is 830 S Central Ave, Malta, Montana. You can contact this provider via phone number 4063902596 and fax number 4066542571. The mailing address for Edwin Medina is 830 S Central Ave, Malta, Montana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edwin Medina |
|---|---|
| Address | 830 S Central Ave, Malta, Montana |
| Phone Number | 4063902596 |
| Fax Number | 4066542571 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1356487201 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2023-01-18 |
Provider Mailing Address Detail
| Address | 830 S Central Ave |
|---|---|
| City | Malta |
| State | Montana (MT) |
| Post Code | 595380 |
| Phone Number | 4063902596 |
| Fax Number | 4066542571 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 9635 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 28223 | MT | -- | |
| 92611 | MT | BLUE CROSS BLUE SHIELD | |
| 720001 | MT | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Edwin Medina?
The Edwin Medina has been issued the NPI (National Provider Identifier) 1356487201 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Edwin Medina's physical address?
The Edwin Medina is physically located at 830 S Central Ave, in the city of Malta, MT, with the postal code 595380.
What is Edwin Medina's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edwin Medina is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
When did the Edwin Medina receive its 1356487201?
The Edwin Medina was issued its 1356487201 on 2007-01-29, which is the date when the organization was assigned this unique identifier.
As of what date were the Edwin Medina's details last updated?
The information pertaining to the Edwin Medina, including its address, specialty, and other details, was most recently updated on 2023-01-18.
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