Organization Name: | GETTYSBURG MEDICAL CLINIC, INC. |
NPI Number: | 1023116589 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | GRACE WEE LIM (PRESIDENT) |
Mailing Address: | 143 W Main St Merced |
State: | CA US |
Postal Code: | 953404930 |
Phone Number: | 2097252060 |
Fax Number: | 2097252072 |
NPI Enumeration Date: | 09/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Multi-Specialty |
Taxonomy Definition: |