| Ronald G Chambers Inc | |
|
4174 Ashby Ct Shasta Lake CA 96019-9215 | |
| (530) 275-3094 | |
| (530) 275-0803 |
| Full Name | Ronald G Chambers Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 4174 Ashby Ct, Shasta Lake, California |
| Authorized Official Name and Position | Ronald G Chambers (PRESIDENT, CORPORATION) |
| Authorized Official Contact | 5302753094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ronald G Chambers Inc 4174 Ashby Ct Shasta Lake CA 96019-9215 Ph: (530) 275-3094 | Ronald G Chambers Inc 4174 Ashby Ct Shasta Lake CA 96019-9215 Ph: (530) 275-3094 |
| NPI Number | 1861616567 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 07/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861616567 | NPI | - | NPPES |
| 00G271700 | Other | MEDICARE LEGACY NUMBER | |
| 1861616567 | Other | MEDICARE NPI ORGANIZ # | |
| 00G271700 | Medicaid | CA | |
| 05D0714372 | Other | CA | CLIA |
| ZZZ02677Z | Other | CA | NP PPIN # FOR GROUP |
| G27170 | Other | CA | STATE LICENSE NUMBER |
| Q71604 | Other | CA | NP UPIN FOR GROUP |
| 1861616567 | Medicaid | CA | |
| 00G271700 | Other | CA | BLUE CROSS PROVIDER NUMBE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G27170 (California) | Primary |
Harold S. Budhram, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5145 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-5421 Fax: 530-275-5156 | |
Redding Rancheria Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4174 Ashby Ct, Shasta Lake, CA 96019 Phone: 530-224-2700 Fax: 530-224-2738 |