OrganizationActive
Healthstat Wellness Bac Madera
NPI 1386097806 · Preventive Medicine/Occupational Environmental Medicine Physician · Madera, CA
Provider details
- NPI number
- 1386097806
- Entity type
- Organization
- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jill Patton, Director of Risk Management(704) 936-5546
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
15341 Road 28 1/2
Madera, CA 93638-2325
Phone: (704) 936-5546
Approximate (ZIP-level) locationGet directions
Mailing address
4651 Charlotte Park Dr
Charlotte, NC 28217-1956
Registry dates
- Enumerated
- 2016-07-20
- Last updated
- 2020-06-30
- Certified
- 2020-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.