DR HEIDI C MIST MD INC NPI 1912256314

NPI Information

NPI: 1912256314
Provider Name: DR HEIDI C MIST MD INC
Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D2027435

Address:
1022 JEFFERSON ST
RED BLUFF, CA
ZIP 96080
Phone: (530) 527-7333
Get Directions

DR HEIDI C MIST MD INC is a general practice in Red Bluff, CA. DR HEIDI C MIST MD INC NPI is 1912256314. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1022 JEFFERSON ST
RED BLUFF, CA
ZIP 96080-726
Phone: (530) 527-7333

The provider's authorized official is Heidi Mist .
The authorized official title is Owner and has the following contact phone number (530) 527-7333.

The CLIA number assigned to this NPI record is 05D2027435 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2012 and was last updated on 10/26/2012.

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	208D00000X	General Practice		A80054	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	H10674	MEDICARE UPIN	CALIFORNIA

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »