Organization
BALLARD MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORRIS ROBERT BALLARD M.D. (PRESIDENT)
(530) 244-9750
Entity
Organization
Contact information
Practice address
1115 WHISKEYTOWN CT, SUITE B, REDDING, CA 96001-0227
(530) 244-9750
(530) 244-0960
Mailing address
1115 WHISKEYTOWN CT, SUITE B, REDDING, CA 96001-0227
(530) 244-9750
(530) 244-0960
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
G017510
CA
207Q00000X
Family Medicine Physician
G14717
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0001720
—
CA
01
—
ZZZ89207Z
BLUE SHIELD PROVIDER #
CA
Enumeration date
11/10/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us