# PRIME HEALTHCARE SERVICES - SHASTA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205089026
- **Authorized official:** MR. CHRISTOPHER DOAN (CHIEF COMPLIANCE COUNSEL)
- **Authorized official phone:** (909) 235-4307

## Contact information

- **Practice address:** 1100 BUTTE ST, REDDING, CA 96001-0852
- **Practice address phone:** (530) 244-8303
- **Practice address fax:** (530) 229-2811
- **Mailing address:** 12479 CENTRAL AVE, CHINO, CA 91710-2670
- **Mailing address phone:** (909) 464-8896
- **Mailing address fax:** (909) 464-8887

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 230000023 | CA | Yes |

## Other

- **Enumeration date:** 10/23/2008
- **Last updated:** 04/28/2017