Redding Primary Care Medical Group, Inc in Redding - Clinic/center
Redding Primary Care Medical Group, Inc - NPI 1376669481
Redding Primary Care Medical Group, Inc is a Clinic/center in Redding, California. Redding Primary Care Medical Group, Inc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Redding Primary Care Medical Group, Inc is 1376669481. The last update date is 2021-06-16.
Redding Primary Care Medical Group, Inc's current location address is 1093 Hilltop Dr, Redding, California. You can contact this provider via phone number 5302211565 and fax number 5302213912. The mailing address for Redding Primary Care Medical Group, Inc is 1093 Hilltop Dr, Redding, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Redding Primary Care Medical Group, Inc |
|---|---|
| Address | 1093 Hilltop Dr, Redding, California |
| Phone Number | 5302211565 |
| Fax Number | 5302213912 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Fullerton Yvonne Linda |
| Telephone Number | 5302211565 |
NPI Number Detail
| NPI Number | 1376669481 |
|---|---|
| Provider Enumeration Date | 2007-03-21 |
| Last Updated Date | 2021-06-16 |
Provider Mailing Address Detail
| Address | 1093 Hilltop Dr |
|---|---|
| City | Redding |
| State | California (CA) |
| Post Code | 960033811 |
| Phone Number | 5302211565 |
| Fax Number | 5302213912 |
Provider's Primary Taxonomy Detail
| Speciality | Clinic/center |
|---|---|
| Taxonomy | 261Q00000X |
| Licence No | BUSS LIC# 23 |
|
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 05D1064577 | CA | MEDICARE CLIA NUMBER | |
| ZZZ11432Z | CA | MEDICARE PTAN |
Post Comment/ Review Below
What is the unique identifier code issued to Redding Primary Care Medical Group, Inc by the Centers for Medicare & Medicaid Services?
The Redding Primary Care Medical Group, Inc has been assigned the NPI (National Provider Identifier) 1376669481. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Redding Primary Care Medical Group, Inc?
The Redding Primary Care Medical Group, Inc is situated at 1093 Hilltop Dr, in the city of Redding, state of CA, with the zip code 960033811.
What is the Redding Primary Care Medical Group, Inc's area of specialization and corresponding taxonomy classification?
The Redding Primary Care Medical Group, Inc's specialty field is Clinic/center, and it falls under the taxonomy code 261Q00000X, which categorizes healthcare providers based on their specialties.
On what date did the Redding Primary Care Medical Group, Inc receive its 1376669481 assignment from the Centers for Medicare & Medicaid Services?
The Redding Primary Care Medical Group, Inc was assigned its 1376669481 by the Centers for Medicare & Medicaid Services on 2007-03-21.
As of what date were the details pertaining to Redding Primary Care Medical Group, Inc last refreshed?
The information related to the Redding Primary Care Medical Group, Inc, including its address, specialty, and other relevant details, was last updated on 2021-06-16.
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