| Shasta Meadows Wellness Center | |
|
1555 East St Ste 210 Redding CA 96001-1153 | |
| (415) 713-6654 | |
| Not Available |
| Full Name | Shasta Meadows Wellness Center |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1555 East St Ste 210, Redding, California |
| Authorized Official Name and Position | James Ross Taggart (OWNER) |
| Authorized Official Contact | 5302445353 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shasta Meadows Wellness Center 1555 East St Ste 210 Redding CA 96001-1153 Ph: (415) 713-6654 | Shasta Meadows Wellness Center 1555 East St Ste 210 Redding CA 96001-1153 Ph: (415) 713-6654 |
| NPI Number | 1487306890 |
|---|---|
| Provider Enumeration Date | 01/26/2022 |
| Last Update Date | 11/07/2022 |
| Medicare PECOS PAC ID | 0648649129 |
|---|---|
| Medicare Enrollment ID | O20221205001926 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487306890 | NPI | - | NPPES |
| Provider Name | James R Taggart |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912951898 PECOS PAC ID: 0547252595 Enrollment ID: I20040910000766 |
| Provider Name | Richard A Zarriello |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245238765 PECOS PAC ID: 2466677844 Enrollment ID: I20140626001573 |
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