| Remi Vista Inc. | |
|
3000 Newburg Rd Fortuna CA 95540-2555 | |
| (707) 268-8722 | |
| Not Available |
| Full Name | Remi Vista Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3000 Newburg Rd, Fortuna, California |
| Authorized Official Name and Position | Tracey Jo Monson (BILLING/CONTRACTS ADMINISTRATOR) |
| Authorized Official Contact | 5302455808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Remi Vista Inc. Po Box 494100 Redding CA 96049-4100 Ph: (530) 245-5805 | Remi Vista Inc. 3000 Newburg Rd Fortuna CA 95540-2555 Ph: (707) 268-8722 |
| NPI Number | 1982234787 |
|---|---|
| Provider Enumeration Date | 01/21/2020 |
| Last Update Date | 05/12/2023 |
| Certification Date | 05/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982234787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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