Organization
SHASTA MEDICAL ASSOCIATES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA L SMITH (BILLING AGENT)
(530) 244-6716
Entity
Organization
Contact information
Practice address
1555 EAST ST, SUITE 300, REDDING, CA 96001-1153
(530) 244-6716
Mailing address
1555 EAST ST, SUITE 300, REDDING, CA 96001-1153
(530) 244-6716
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE8794
RAILROAD MEDICARE
CA
01
—
E32911
UPIN
CA
01
—
F10686
UPIN
CA
01
—
F36718
UPIN
CA
01
—
G15875
UPIN
CA
01
—
G62314
UPIN
CA
05
—
GR0070840
—
CA
01
—
H31167
UPIN
CA
Enumeration date
08/04/2006
Last updated
07/21/2022
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