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NORTH STATE CANCER SPECIALTY INC NPI 1396701546


NPI Information

NPI: 1396701546
Provider Name: NORTH STATE CANCER SPECIALTY INC
Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
2510 AIRPARK DR
SUITE 103
REDDING, CA
ZIP 96001
Phone: (530) 242-8822
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NORTH STATE CANCER SPECIALTY INC is a hematology and oncology internal medicine in Redding, CA. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. NORTH STATE CANCER SPECIALTY INC NPI is 1396701546. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2510 AIRPARK DR
SUITE 103
REDDING, CA
ZIP 96001
Phone: (530) 242-8822
Fax: (530) 242-0849

The provider's authorized official is Jed L Freeman .
The authorized official title is Pres and has the following contact phone number (530) 242-8822.

The enumeration date for this NPI number is 4/25/2006 and was last updated on 3/3/2009.


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
1207RH0003XInternal MedicineHematology & Oncology35-056102FOHIONo
2207RH0003XInternal MedicineHematology & OncologyG73860CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F39737MEDICARE UPIN
2ZZZ25250ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
300G738600MEDICAIDCALIFORNIA

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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