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Redding Primary Care Medical Group, Inc
Family Nurse Practitioner in Redding, California
NPI 1376669481

Redding Primary Care Medical Group, Inc is a Family Nurse Practitioner based in Redding, CA and is specialized in Family. Redding Primary Care Medical Group, Inc practices in Redding, CA. The NPI Number for Redding Primary Care Medical Group, Inc is 1376669481 and holds a License No. BUSS LIC# 23151 (California).

The current practice location address for Redding Primary Care Medical Group, Inc is 1093 Hilltop Dr, Redding, CA and can be reached out via phone at 530-221-1565 and via fax at 530-221-3912.

Location: 1093 Hilltop Dr, Redding, CA, 96003-3811
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1376669481
Provider Name
Redding Primary Care Medical Group, Inc
Credential
Provider Entity Type
Organization
Address
1093 Hilltop Dr, Redding, CA, 96003-3811
Phone Number
530-221-1565
Fax Number
530-221-3912
Provider Enumeration Date
03/21/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05D1064577 01 CA MEDICARE CLIA NUMBER
ZZZ11432Z 01 CA MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1093 Hilltop Dr
City
Redding
State
California
Zip
96003-3811
Phone Number
530-221-1565
Fax Number
530-221-3912
person
Provider Business Mailing Address Details
Address
1093 Hilltop Dr
City
Redding
State
California
Zip
96003-3811
Phone Number
530-221-1565
Fax Number
530-221-3912
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
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., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
BUSS LIC# 23151 (California)
Definition
Definition to come...
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