Good Medicine A Medical Corporation in Mount Shasta - Family Medicine

Good Medicine A Medical Corporation - NPI 1114056389

Good Medicine A Medical Corporation is a Family Medicine in Mount Shasta, California. Good Medicine A Medical Corporation practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Good Medicine A Medical Corporation is 1114056389. The last update date is 2008-03-13.

Good Medicine A Medical Corporation's current location address is 101 Old Mccloud Rd, Mount Shasta, California. You can contact this provider via phone number 5309265100 and fax number 5309261859. The mailing address for Good Medicine A Medical Corporation is 101 Old Mccloud Rd, Mount Shasta, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Good Medicine A Medical Corporation
Address 101 Old Mccloud Rd, Mount Shasta, California
Phone Number 5309265100
Fax Number 5309261859
Sole Proprietor --
Credentials --

Authorized Official

Title or Position BUSINESS M
Authorized Official Name Koehler Lisa
Telephone Number 5309265100

NPI Number Detail

NPI Number 1114056389
Provider Enumeration Date 2007-03-05
Last Updated Date 2008-03-13

Provider Mailing Address Detail

Address 101 Old Mccloud Rd
City Mount Shasta
State California (CA)
Post Code 960672796
Phone Number 5309265100
Fax Number 5309261859

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
DF3805 CA RAILROAD MEDICARE

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FAQs about Good Medicine A Medical Corporation

What is the unique identification code assigned to Good Medicine A Medical Corporation by the Centers for Medicare & Medicaid Services?

The Good Medicine A Medical Corporation has been issued the NPI (National Provider Identifier) 1114056389. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Good Medicine A Medical Corporation's physical address?

The Good Medicine A Medical Corporation is physically located at 101 Old Mccloud Rd, in the city of Mount Shasta, CA, with the postal code 960672796.

What is Good Medicine A Medical Corporation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Good Medicine A Medical Corporation is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.

On what date did Good Medicine A Medical Corporation receive its 1114056389 assignment from the Centers for Medicare & Medicaid Services?

The Good Medicine A Medical Corporation was assigned its 1114056389 on 2007-03-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Good Medicine A Medical Corporation most recently updated or revised?

The details related to Good Medicine A Medical Corporation, including its address, specialty, and other relevant information, were last updated or revised on 2008-03-13.

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