Organization
ADVENTIST HEALTH PHYSICIANS NETWORK
Active
Parent organization
ADVENTIST HEALTH PHYSICIANS NETWORK
Other names
Adventist Health Medical Specialties
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADVENTIST HEALTH PHYSICIANS NETWORK
Authorized official
MR. KIRBY J MCKAGUE (CFO)
(916) 789-4209
Entity
Organization
Contact information
Practice address
721 RIVER DR, SUITE C, FORT BRAGG, CA 95437
(707) 463-8000
(707) 462-1111
Mailing address
2100 DOUGLAS BLVD, ROSEVILLE, CA 95661-3804
(916) 789-4209
(916) 789-4206
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/06/2013
Last updated
03/08/2013
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