Organization
PRIME HEALTHCARE SERVICES - SHASTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER DOAN (CHIEF COMPLIANCE COUNSEL)
(909) 235-4307
Entity
Organization
Contact information
Practice address
1100 BUTTE ST, REDDING, CA 96001-0852
(530) 244-8303
(530) 229-2811
Mailing address
12479 CENTRAL AVE, CHINO, CA 91710-2670
(909) 464-8896
(909) 464-8887
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
230000023
CA
Other
Enumeration date
10/23/2008
Last updated
04/28/2017
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