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REDDING CRITICAL CARE MEDICAL GROUP INC. NPI 1306824198


NPI Information

NPI: 1306824198
Provider Name: REDDING CRITICAL CARE MEDICAL GROUP, INC.
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
2175 ROSALINE AVE
REDDING, CA
ZIP 96001
Phone: (530) 246-9806
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REDDING CRITICAL CARE MEDICAL GROUP, 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. REDDING CRITICAL CARE MEDICAL GROUP, INC. NPI is 1306824198. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2175 ROSALINE AVE
REDDING, CA
ZIP 96001-549
Phone: (530) 246-9806
Fax: (530) 246-9808

The provider's authorized official is Matthew Scott Miles .
The authorized official title is Vice President and has the following contact phone number (530) 246-9890.

The enumeration date for this NPI number is 1/3/2006 and was last updated on 7/20/2020.


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
1207RC0200XInternal MedicineCritical Care MedicineA70238CALIFORNIANo
2207RC0200XInternal MedicineCritical Care Medicine20A9545CALIFORNIANo
3207RC0200XInternal MedicineCritical Care MedicineA112925CALIFORNIANo
4207RC0200XInternal MedicineCritical Care MedicineA121250CALIFORNIANo
5207RI0200XInternal MedicineInfectious DiseaseA82251CALIFORNIANo
6207RP1001XInternal MedicinePulmonary DiseaseG33546CALIFORNIANo
7207RP1001XInternal MedicinePulmonary DiseaseG54699CALIFORNIANo
8207RC0200XInternal MedicineCritical Care MedicineG11110CALIFORNIAYes

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
1GR0066140MEDICAIDCALIFORNIA

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: 11/14/2023

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