Organization
PRIME HEALTHCARE SERVICES - SHASTA LLC
Active
Organization
PRIME HEALTHCARE SERVICES - SHASTA LLC
Active
Other names
Shasta Regional Medical Center, Shasta Regional Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DOAN (MANAGING ASSOCIATE GENERAL COUNSEL)
(310) 259-4706
Entity
Organization
Contact information
Practice address
1100 BUTTE ST, REDDING, CA 96001-0852
(530) 244-5454
Mailing address
1100 BUTTE ST, REDDING, CA 96001-0852
(530) 244-5454
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
230000023
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177738
—
CA
Enumeration date
06/28/2013
Last updated
04/14/2022
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