| Remi Vista, Inc. | |
|
1050 E St Rm 26 Crescent City CA 95531 | |
| (707) 464-4349 | |
| (707) 464-4572 |
| Full Name | Remi Vista, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1050 E St Rm 26, Crescent City, California |
| Authorized Official Name and Position | Tracey J Monson (BILLING ADMINISTRATOR) |
| Authorized Official Contact | 5302455805 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Remi Vista, Inc. Po Box 494100 Redding CA 96049-4100 Ph: (530) 245-5805 | Remi Vista, Inc. 1050 E St Rm 26 Crescent City CA 95531 Ph: (707) 464-4349 |
| NPI Number | 1194913459 |
|---|---|
| Provider Enumeration Date | 10/11/2007 |
| Last Update Date | 01/17/2020 |
| Certification Date | 01/17/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194913459 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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