Northern California Medical Assoc Inc in Fort Bragg - Cardiovascular Disease
Northern California Medical Assoc Inc - NPI 1689671570
Northern California Medical Assoc Inc is a Cardiovascular Disease in Fort Bragg, California. Northern California Medical Assoc Inc practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Northern California Medical Assoc Inc is 1689671570. The last update date is 2012-02-09.
Northern California Medical Assoc Inc's current location address is 721 River Dr, Fort Bragg, California. You can contact this provider via phone number 7075736166 and fax number 7075736165. The mailing address for Northern California Medical Assoc Inc is 721 River Dr, Fort Bragg, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Northern California Medical Assoc Inc |
|---|---|
| Address | 721 River Dr, Fort Bragg, California |
| Phone Number | 7075736166 |
| Fax Number | 7075736165 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Skidmore Ann Ruth |
| Telephone Number | 7075736925 |
NPI Number Detail
| NPI Number | 1689671570 |
|---|---|
| Provider Enumeration Date | 2005-07-07 |
| Last Updated Date | 2012-02-09 |
Provider Mailing Address Detail
| Address | 721 River Dr |
|---|---|
| City | Fort Bragg |
| State | California (CA) |
| Post Code | 9543754020 |
| Phone Number | 7075736166 |
| Fax Number | 7075736165 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ01804Z | CA | BLUE SHIELD OF CALIFORNIA | |
| GR000173A | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Northern California Medical Assoc Inc by the Centers for Medicare & Medicaid Services?
The Northern California Medical Assoc Inc has been issued the NPI (National Provider Identifier) 1689671570, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Northern California Medical Assoc Inc's facilities are situated?
The facilities of Northern California Medical Assoc Inc are physically located at the following address: 721 River Dr, Fort Bragg, CA, 9543754020.
What is Northern California Medical Assoc Inc's area of expertise and its corresponding taxonomy classification?
The Northern California Medical Assoc Inc's field of specialization is Cardiovascular Disease, and it falls under the taxonomy code 207Rc0000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1689671570 to Northern California Medical Assoc Inc?
The Centers for Medicare & Medicaid Services assigned the 1689671570 to Northern California Medical Assoc Inc on 2005-07-07.
As of what date was the information pertaining to Northern California Medical Assoc Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Northern California Medical Assoc Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-02-09.
NPI Number: 1376546309
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