Shasta Family Practice Medical Group | |
2888 Eureka Way Ste 201 Redding CA 96001-0210 | |
(530) 223-7444 | |
(530) 223-7449 |
Full Name | Shasta Family Practice Medical Group |
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Speciality | Family Medicine |
Location | 2888 Eureka Way Ste 201, Redding, California |
Authorized Official Name and Position | Jack W Finch (PRESIDENT) |
Authorized Official Contact | 5302237444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shasta Family Practice Medical Group 2888 Eureka Way Ste 201 Redding CA 96001-0210 Ph: (530) 223-7444 | Shasta Family Practice Medical Group 2888 Eureka Way Ste 201 Redding CA 96001-0210 Ph: (530) 223-7444 |
NPI Number | 1700976172 |
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Provider Enumeration Date | 10/13/2006 |
Last Update Date | 10/17/2013 |
Medicare PECOS PAC ID | 7719947852 |
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Medicare Enrollment ID | O20041013001127 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700976172 | NPI | - | NPPES |
00G683770 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jack W Finch |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629168091 PECOS PAC ID: 3971563024 Enrollment ID: I20071024000527 |
Provider Name | Sheila Mary Finch |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1811061591 PECOS PAC ID: 9436119583 Enrollment ID: I20140130000108 |
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