PRESTIGE URGENT CARE LLC NPI 1295130821

NPI Information

NPI: 1295130821
Provider Name: PRESTIGE URGENT CARE, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2071471

Address:
3689 EUREKA WAY
REDDING, CA
ZIP 96001
Phone: (530) 244-4577
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PRESTIGE URGENT CARE, LLC is a primary care clinic center in Redding, CA. PRESTIGE URGENT CARE, LLC NPI is 1295130821. The provider is registered as an organization entity type.

The provider's business location address is:

3689 EUREKA WAY
REDDING, CA
ZIP 96001-177
Phone: (530) 244-4577
Fax: (530) 244-4576

The provider's authorized official is Jonathan Osborne .
The authorized official title is President and has the following contact phone number (530) 244-4577.

The CLIA number assigned to this NPI record is 05D2071471 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/24/2014 and was last updated on 10/24/2014.

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
1	261QP2300X	Clinic/Center	Primary Care	20A7894	CALIFORNIA	No
2	363AM0700X	Physician Assistant	Medical	13754	CALIFORNIA	No
3	363LP2300X	Nurse Practitioner	Primary Care	17414	CALIFORNIA	No
4	261QP2300X	Clinic/Center	Primary Care	20A11216	CALIFORNIA	Yes

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: 5/5/2024

NPI Synchronization or Removal

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