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SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC INC. NPI 1245249770


NPI Information

NPI: 1245249770
Provider Name: SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC.
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

CLIA Number: 05D1019618

Address:
2701 OLD EUREKA WAY
SUITE 1E
REDDING, CA
ZIP 96001
Phone: (530) 232-3000
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SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC. is a critical care medicine internal medicine in Redding, CA. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. SHASTA CRITICAL CARE SPECIALISTS MEDICAL CLINIC, INC. NPI is 1245249770. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2701 OLD EUREKA WAY
SUITE 1E
REDDING, CA
ZIP 96001-228
Phone: (530) 232-3000
Fax: (530) 232-3099

The provider's authorized official is Jeffrey Krahling .
The authorized official title is M.d./owner and has the following contact phone number (530) 232-3000.

The CLIA number assigned to this NPI record is 05D1019618 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/5/2006 and was last updated on 1/19/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyCALIFORNIANo
2207RP1001XInternal MedicinePulmonary DiseaseCALIFORNIANo
3207RC0200XInternal MedicineCritical Care MedicineCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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