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Mt Shasta Cardiology, Inc
Clinic/Center in Mount Shasta, California
NPI 1760672521

Mt Shasta Cardiology, Inc is a Clinic/Center based in Mount Shasta, CA. Mt Shasta Cardiology, Inc practices in Mount Shasta, CA. The NPI Number for Mt Shasta Cardiology, Inc is 1760672521 and holds a License No. (California).

The current practice location address for Mt Shasta Cardiology, Inc is 110 W Castle St Ste 200, Mount Shasta, CA and can be reached out via phone at 530-926-4067 and via fax at 530-926-3791.

Location: 110 W Castle St Ste 200, Mount Shasta, CA, 96067-1253
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1760672521
Provider Name
Mt Shasta Cardiology, Inc
Credential
Provider Entity Type
Organization
Address
110 W Castle St Ste 200, Mount Shasta, CA, 96067-1253
Phone Number
530-926-4067
Fax Number
530-926-3791
Provider Enumeration Date
07/27/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DG9564 01 CA RAILROAD MEDICARE
00A304480 05 CA
institution
Provider Business Practice Location Address Details
Address
110 W Castle St Ste 200
City
Mount Shasta
State
California
Zip
96067-2165
Phone Number
530-926-4067
Fax Number
530-926-3791
person
Provider Business Mailing Address Details
Address
110 W Castle St Ste 200
City
Mount Shasta
State
California
Zip
96067-2165
Phone Number
530-926-4067
Fax Number
530-926-3791
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Cardiovascular Disease
Taxonomy
207RC0000X
License No.
()
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
person
Provider's Taxonomy Details 2
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).
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