Organization Name: | ADVENTIST HEALTH PHYSICIANS NETWORK |
NPI Number: | 1053790915 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIRBY J. MCKAGUE (C.F.O.) |
Mailing Address: | 260 Hospital Dr Suite 102 Ukiah |
State: | CA US |
Postal Code: | 954824568 |
Phone Number: | 7074638003 |
Fax Number: | 7074638018 |
NPI Enumeration Date: | 05/26/2015 |
NPI Last Update Date: | 05/26/2015 |
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: |