| Dr Heidi C Mist Md Inc | |
|
1022 Jefferson St Red Bluff CA 96080-2726 | |
| (530) 527-7333 | |
| Not Available |
| Full Name | Dr Heidi C Mist Md Inc |
|---|---|
| Speciality | General Practice |
| Location | 1022 Jefferson St, Red Bluff, California |
| Authorized Official Name and Position | Heidi Mist (OWNER) |
| Authorized Official Contact | 5305277333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Heidi C Mist Md Inc 1022 Jefferson St Red Bluff CA 96080-2726 Ph: () - | Dr Heidi C Mist Md Inc 1022 Jefferson St Red Bluff CA 96080-2726 Ph: (530) 527-7333 |
| NPI Number | 1912256314 |
|---|---|
| Provider Enumeration Date | 08/31/2012 |
| Last Update Date | 10/26/2012 |
| Medicare PECOS PAC ID | 7214189828 |
|---|---|
| Medicare Enrollment ID | O20121205000546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912256314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | A80054 (California) | Primary |
| Provider Name | Heidi C Mist |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154461416 PECOS PAC ID: 6507886520 Enrollment ID: I20051205000760 |
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