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Organization

REDDING CRITICAL CARE MEDICAL GROUP, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MATTHEW SCOTT MILES MD (VICE PRESIDENT)
(530) 246-9806
Entity
Organization

Contact information

Practice address
2175 ROSALINE AVE, REDDING, CA 96001-2549
(530) 225-6000
Mailing address
PO BOX 991844, REDDING, CA 96099-1844
(530) 246-9806
(530) 246-9808

Taxonomy

Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
207RI0200X
Infectious Disease Physician
207RP1001X
Pulmonary Disease Physician
2084A2900X
Neurocritical Care Physician
2086S0102X
Surgical Critical Care Physician
363LA2100X
Acute Care Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0066140
CA
Enumeration date
01/03/2006
Last updated
05/05/2025
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