| Good Medicine A Medical Corporation | |
|
101 Old Mccloud Rd Mount Shasta CA 96067-2796 | |
| (530) 926-5100 | |
| (530) 926-1859 |
| Full Name | Good Medicine A Medical Corporation |
|---|---|
| Speciality | Family Medicine |
| Location | 101 Old Mccloud Rd, Mount Shasta, California |
| Authorized Official Name and Position | Lisa Koehler (BUSINESS MANAGER) |
| Authorized Official Contact | 5309265100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Good Medicine A Medical Corporation 101 Old Mccloud Rd Mount Shasta CA 96067-2796 Ph: (530) 926-5100 | Good Medicine A Medical Corporation 101 Old Mccloud Rd Mount Shasta CA 96067-2796 Ph: (530) 926-5100 |
| NPI Number | 1114056389 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 03/13/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114056389 | NPI | - | NPPES |
| DF3805 | Other | CA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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