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Organization

MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED

Active
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Organization

MERCED FACULTY ASSOCIATES MEDICAL GROUP INCORPORATED

Active
Other names
Delhi Medical Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
REBECCA L. SHAW CPA (CEO)
(209) 723-1920
Entity
Organization

Contact information

Practice address
9696 STEPHENS ST, DELHI, CA 95315-9550
(209) 667-0702
(209) 667-6737
Mailing address
PO BOX 3768, MERCED, CA 95344-3768
(209) 725-7149
(209) 726-0259

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CS1342
RAILROAD MEDICARE
GA
05
—
HAP03965G
—
CA
05
—
RHM03965G
—
CA
01
—
ZZZ61445Z
BLUE SHIELD GROUP
CA
Enumeration date
05/16/2007
Last updated
07/15/2014
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