Med-1 Medical Center Professional Corporation in Modesto - Corporate Health
Med-1 Medical Center Professional Corporation - NPI 1275691339
Med-1 Medical Center Professional Corporation is a Corporate Health in Modesto, California. Med-1 Medical Center Professional Corporation practices all healthcare services and medical treatments related to Corporate Health. The NPI Number for Med-1 Medical Center Professional Corporation is 1275691339. The last update date is 2020-08-22.
Med-1 Medical Center Professional Corporation's current location address is 3508 Dale Rd, Modesto, California. You can contact this provider via phone number 2095741355 and fax number 2095718204. The mailing address for Med-1 Medical Center Professional Corporation is 3508 Dale Rd, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Med-1 Medical Center Professional Corporation |
|---|---|
| Address | 3508 Dale Rd, Modesto, California |
| Phone Number | 2095741355 |
| Fax Number | 2095718204 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Russakov Alan |
| Credentials | M.D |
| Telephone Number | 2905741355 |
NPI Number Detail
| NPI Number | 1275691339 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3508 Dale Rd |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953560552 |
| Phone Number | 2095741355 |
| Fax Number | 2095718204 |
Provider's Primary Taxonomy Detail
| Speciality | Corporate Health |
|---|---|
| Taxonomy | 261Qc1800X |
| Licence No | G75606 |
|
Definition: Provides occupational health and basic medical care services to corporate employees at the workplace. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26254 | CA | LICENCE NUMBER | |
| PT23734 | CA | LICENCE NUMBER | |
| G75606 | CA | LICENCE NUMBER | |
| 13661 | CA | LICENCE NUMBER | |
| 16903 | CA | LICENCE NUMBER | |
| 18301 | CA | LICENCE NUMBER | |
| 26062 | CA | LICENCE NUMBER | |
| 27743 | CA | 27743 | |
| 28332 | CA | LICENCE NUMBER | |
| DC0167900 | CA | LICENCE NUMBER |
Post Comment/ Review Below
What is the unique identification code assigned to Med-1 Medical Center Professional Corporation by the Centers for Medicare & Medicaid Services?
The Med-1 Medical Center Professional Corporation has been issued the NPI (National Provider Identifier) 1275691339. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Med-1 Medical Center Professional Corporation is physically located?
The Med-1 Medical Center Professional Corporation is physically situated at the following address: 3508 Dale Rd, Modesto, CA, 953560552.
What is Med-1 Medical Center Professional Corporation's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Med-1 Medical Center Professional Corporation is Corporate Health, and the taxonomy classification code that categorizes this area of expertise is 261Qc1800X.
When was the Med-1 Medical Center Professional Corporation's 1275691339 issued?
The Med-1 Medical Center Professional Corporation's 1275691339 was issued on 2006-12-04.
As of what date was the information regarding Med-1 Medical Center Professional Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Med-1 Medical Center Professional Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.
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