institution
Mt Shasta Medi-cal Clinic, Inc
Rural Health Clinic/Center in Mount Shasta, California
NPI 1679514483

Mt Shasta Medi-cal Clinic, Inc is a Rural Health Clinic/Center based in Mount Shasta, CA and is specialized in Rural Health. Mt Shasta Medi-cal Clinic, Inc practices in Mount Shasta, CA. The NPI Number for Mt Shasta Medi-cal Clinic, Inc is 1679514483 and holds a License No. 230000075 (California).

The current practice location address for Mt Shasta Medi-cal Clinic, Inc is 912 Pine St, Mount Shasta, CA and can be reached out via phone at 530-926-5105 and via fax at 530-926-1359.

Location: 912 Pine St, Mount Shasta, CA, 96067-2143
institution
Provider Profile Details
NPI Number
1679514483
Provider Name
Mt Shasta Medi-cal Clinic, Inc
Credential
Provider Entity Type
Organization
Address
912 Pine St, Mount Shasta, CA, 96067-2143
Phone Number
530-926-5105
Fax Number
530-926-1359
Provider Enumeration Date
06/10/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
EAP53856F 01 CA EAP
RHM53856F 05 CA
institution
Provider Business Practice Location Address Details
Address
912 Pine St
City
State
Zip
96067-2143
Phone Number
530-926-5105
Fax Number
530-926-1359
person
Provider Business Mailing Address Details
Address
912 Pine St
City
State
Zip
96067-2143
Phone Number
530-926-5105
Fax Number
530-926-1359
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
230000075 (California)
Definition
Definition to come...
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