Organization
ADVENTIST HEALTH PHYSICIANS NETWORK
Active
Parent organization
ADVENTIST HEALTH PHYSICIANS NETWORK
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
1620 PENNSYLVANIA AVE, SUITE B, FAIRFIELD, CA 94533-3551
(707) 557-3200
(707) 557-3201
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
06/19/2013
Last updated
06/19/2013
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