Pacific Redwood Medical Group Inc in Ukiah - Emergency Medicine
Pacific Redwood Medical Group Inc - NPI 1033103676
Pacific Redwood Medical Group Inc is a Emergency Medicine in Ukiah, California. Pacific Redwood Medical Group Inc practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Pacific Redwood Medical Group Inc is 1033103676. The last update date is 2018-07-31.
Pacific Redwood Medical Group Inc's current location address is Po Box 2800, Ukiah, California. You can contact this provider via phone number 7074627900 and fax number 7074627947. The mailing address for Pacific Redwood Medical Group Inc is Po Box 2800, Ukiah, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Redwood Medical Group Inc |
|---|---|
| Address | Po Box 2800, Ukiah, California |
| Phone Number | 7074627900 |
| Fax Number | 7074627947 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Fausone W Gary |
| Credentials | MD |
| Telephone Number | 7074627900 |
NPI Number Detail
| NPI Number | 1033103676 |
|---|---|
| Provider Enumeration Date | 2005-09-09 |
| Last Updated Date | 2018-07-31 |
Provider Mailing Address Detail
| Address | Po Box 2800 |
|---|---|
| City | Ukiah |
| State | California (CA) |
| Post Code | 954822800 |
| Phone Number | 7074627900 |
| Fax Number | 7074627947 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
|
Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17165692005 | CA | STATE COMPENSATION INS | |
| GR0093400 | CA | -- | |
| 352149100 | DOL (DEPT OF LABOR) | ||
| ZZZ06060Z | CA | BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pacific Redwood Medical Group Inc by the Centers for Medicare & Medicaid Services?
The Pacific Redwood Medical Group Inc has been assigned the NPI (National Provider Identifier) 1033103676 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Pacific Redwood Medical Group Inc is located?
The Pacific Redwood Medical Group Inc is situated at the following address: Po Box 2800, Ukiah, CA, 954822800.
What is Pacific Redwood Medical Group Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Pacific Redwood Medical Group Inc's area of specialization is Emergency Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207P00000X.
When did Pacific Redwood Medical Group Inc receive its 1033103676 assignment?
The Pacific Redwood Medical Group Inc was assigned its 1033103676 on 2005-09-09, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Pacific Redwood Medical Group Inc most recently updated or revised?
The details related to Pacific Redwood Medical Group Inc, including its address, specialty, and other relevant information, were last updated or revised on 2018-07-31.