| Mt Shasta Cardiology, Inc | |
|
110 W Castle St Ste 200 Mount Shasta CA 96067-2165 | |
| (530) 926-4067 | |
| (530) 926-3791 |
| Full Name | Mt Shasta Cardiology, Inc |
|---|---|
| Speciality | Internal Medicine - Cardiovascular Disease |
| Location | 110 W Castle St Ste 200, Mount Shasta, California |
| Authorized Official Name and Position | Curtis N Smith (CARDIOLIGIST) |
| Authorized Official Contact | 5309264401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt Shasta Cardiology, Inc Po Box 1253 Mount Shasta CA 96067-1253 Ph: (530) 926-4401 | Mt Shasta Cardiology, Inc 110 W Castle St Ste 200 Mount Shasta CA 96067-2165 Ph: (530) 926-4067 |
| NPI Number | 1760672521 |
|---|---|
| Provider Enumeration Date | 07/27/2007 |
| Last Update Date | 05/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760672521 | NPI | - | NPPES |
| DG9564 | Other | CA | RAILROAD MEDICARE |
| 00A304480 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
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