Mission Provider Services, Inc. in Redding - Intermediate Care Facility, Intellectual Disabilities

Mission Provider Services, Inc. - NPI 1447306857

Mission Provider Services, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Redding, California. Mission Provider Services, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Mission Provider Services, Inc. is 1447306857. The last update date is 2020-08-22.

Mission Provider Services, Inc.'s current location address is 2970 Innsbruck Dr Ste C, Redding, California. You can contact this provider via phone number 5302225633 and fax number 5302225528. The mailing address for Mission Provider Services, Inc. is 2970 Innsbruck Dr Ste C, Redding, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mission Provider Services, Inc.
Address 2970 Innsbruck Dr Ste C, Redding, California
Phone Number 5302225633
Fax Number 5302225528
Sole Proprietor --
Credentials --

Authorized Official

Title or Position EXECUTIVE
Authorized Official Name Emerson Dana
Telephone Number 5302225633

NPI Number Detail

NPI Number 1447306857
Provider Enumeration Date 2007-01-26
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2970 Innsbruck Dr Ste C
City Redding
State California (CA)
Post Code 960039303
Phone Number 5302225633
Fax Number 5302225528

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
55G306 CA DHS ID NUMBER

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FAQs about Mission Provider Services, Inc.

What is the unique identifier code issued to Mission Provider Services, Inc. by the Centers for Medicare & Medicaid Services?

The Mission Provider Services, Inc. has been assigned the NPI (National Provider Identifier) 1447306857. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Where is the Mission Provider Services, Inc. located?

The Mission Provider Services, Inc. is located at 2970 Innsbruck Dr Ste C, Redding, CA 960039303.

What is the area of specialization for Mission Provider Services, Inc., and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mission Provider Services, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1447306857 to Mission Provider Services, Inc.?

The Mission Provider Services, Inc. received its 1447306857 assignment from the Centers for Medicare & Medicaid Services on 2007-01-26.

When was the information pertaining to Mission Provider Services, Inc. most recently updated or revised?

The details related to Mission Provider Services, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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