Organization · Type 2 NPI

Redding Primary Care Medical Group, Inc

Urgent Care Clinic/Center · Redding, CA

NPI number 1316966302 Active

Practice location

1093 Hilltop Drive
Redding, CA 96003-3811

Fax (530) 221-3912

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician	207Q00000X	G63898 (CA)
Family Medicine Physician	207Q00000X	G70179 (CA)
Family Medicine Physician	207Q00000X	A86612 (CA)
Internal Medicine Physician	207R00000X	G42236 (CA)
Urgent Care Clinic/Center	261QU0200X	BUSS LIC #9113 (CA)
Urgent Care Clinic/Center Primary	261QU0200X	None listed

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NPI record

NPI: 1316966302
Entity type: Organization (Type 2)
Issued: Jul 19, 2006
Last updated: Sep 5, 2012
Status: Active
Subpart: Yes of Redding Primary Care Medical Group, Inc.

Other names

<unavail>
Hilltop Medical Clinic · doing business as

Authorized official

Linda Yvonne Fullerton
Co-Administrator
(530) 221-1565

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About NPI 1316966302

Redding Primary Care Medical Group, Inc's National Provider Identifier is 1316966302, issued on Jul 19, 2006. The primary taxonomy on file is Urgent Care Clinic/Center (261QU0200X), and the practice location is in Redding, CA. The record was last updated on Sep 5, 2012.