| Organization Name: | ADVENTIST HEALTH PHYSICIANS NETWORK |
| NPI Number: | 1043604705 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIRBY J. MCKAGUE (CFO) |
| Mailing Address: | 850 Sequoia Cir Fort Bragg |
| State: | CA US |
| Postal Code: | 954375490 |
| Phone Number: | 7079640259 |
| Fax Number: | 7079640765 |
| NPI Enumeration Date: | 03/20/2015 |
| NPI Last Update Date: | 03/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |