ADVENTIST HEALTH PHYSICIANS NETWORK NPI 1144561770

NPI Information

  • NPI: 1144561770
  • Provider Name: ADVENTIST HEALTH PHYSICIANS NETWORK
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Doing Business As: ADVENTIST HEALTH MEDICAL SPECIALTIES
  • CLIA Number: 05D0612511
  • Address: 721 RIVER DR
    SUITE C
    FORT BRAGG, CA
    ZIP 95437
  • Phone: (707) 463-8000

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NPI Details

ADVENTIST HEALTH PHYSICIANS NETWORK is a multi-specialty clinic center in Fort Bragg, CA. ADVENTIST HEALTH PHYSICIANS NETWORK NPI is 1144561770. The provider is registered as an organization entity type.
The provider Is Doing Business As Adventist Health Medical Specialties.

The provider's business location address is:

721 RIVER DR
SUITE C
FORT BRAGG, CA
ZIP 95437
Phone: (707) 463-8000
Fax: (707) 462-1111

The provider's authorized official is Kirby J Mckague .
The authorized official title is Cfo and has the following contact phone number (916) 789-4209.

The CLIA number assigned to this NPI record is 05D0612511 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/6/2013 and was last updated on 3/8/2013.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM1300XClinic/CenterMulti-SpecialtyYes

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: 11/21/2025

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