# COTTONWOOD MEDICAL GROUP

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

## Provider details

- **NPI number:** 1568454353
- **Authorized official:** LIZ ANDREWS (ADMINISTRATOR)
- **Authorized official phone:** (530) 347-4867

## Contact information

- **Practice address:** 20633 GAS POINT RD, COTTONWOOD, CA 96022-9296
- **Practice address phone:** (530) 347-4867
- **Practice address fax:** (530) 347-5670
- **Mailing address:** PO BOX 496084, REDDING, CA 96049-6084
- **Mailing address phone:** (530) 347-4867
- **Mailing address fax:** (530) 347-5670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2005
- **Last updated:** 02/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | RHM53924F | — | CA |