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Shasta Primary Care Llc
Primary Care Clinic/Center in Redding, California
NPI 1740945906

Shasta Primary Care Llc is a Primary Care Clinic/Center based in Redding, CA and is specialized in Primary Care. Shasta Primary Care Llc practices in Redding, CA. The NPI Number for Shasta Primary Care Llc is 1740945906 and holds a License No. (California).

The current practice location address for Shasta Primary Care Llc is 2121 Airpark Dr, Redding, CA and can be reached out via phone at 530-255-8025 and via fax at 530-255-8028.

Location: 2121 Airpark Dr, Redding, CA, 96001-2433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740945906
Provider Name
Shasta Primary Care Llc
Credential
Provider Entity Type
Organization
Address
2121 Airpark Dr, Redding, CA, 96001-2433
Phone Number
530-255-8025
Fax Number
530-255-8028
Provider Enumeration Date
11/03/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
202129410899 01 CA STATE FILE NUMBER
1000694320 05 CA
CA376666 05 CA
institution
Provider Business Practice Location Address Details
Address
2121 Airpark Dr
City
Redding
State
California
Zip
96001-2433
Phone Number
530-255-8025
Fax Number
530-255-8028
person
Provider Business Mailing Address Details
Address
2121 Airpark Dr
City
Redding
State
California
Zip
96001-2433
Phone Number
530-255-8025
Fax Number
530-255-8028
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
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Definition
Definition to come...
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