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JACK W FINCH M.D. INC NPI 1700976172


NPI Information

NPI: 1700976172
Provider Name: JACK W FINCH M.D. INC

Doing Business As: SHASTA FAMILY PRACTICE MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0872619

Address:
2888 EUREKA WAY STE 201
REDDING, CA
ZIP 96001
Phone: (530) 223-7444
Get Directions

JACK W FINCH M.D. INC is a family medicine in Redding, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JACK W FINCH M.D. INC NPI is 1700976172. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Shasta Family Practice Medical Group.

The provider's business location address is:

2888 EUREKA WAY STE 201
REDDING, CA
ZIP 96001-210
Phone: (530) 223-7444
Fax: (530) 223-7449

The provider's authorized official is Jack W Finch .
The authorized official title is President and has the following contact phone number (530) 223-7444.

The CLIA number assigned to this NPI record is 05D0872619 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/13/2006 and was last updated on 10/17/2013.


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
1207Q00000XFamily MedicineYes

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
100G683770MEDICAIDCALIFORNIA
2ZZZ17147ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3E56233MEDICARE UPINCALIFORNIA

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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