Rcoa-Adventist Health, LLC

Primary specialty

Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X

License

6838-17 Issued in CA

Legal business name

RCOA-ADVENTIST HEALTH, LLC

Doing business as

Adventist Health PET/CT - Ukiah

Practice address

275 Hospital Dr
Ukiah, CA 95482-4531

Phone

(866) 293-3500

Fax

(866) 293-3535

NPI assigned

May 25, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Allen McGee

Title

Chairman & Ceo

Phone

(561) 477-3500

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adventist Health PET/CT - Ukiah Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Randall Lee Bivens, M.D.

  • Diagnostic Radiology Physician
  • Hopland, CA
  • NPI 1922180207
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1104872910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 850001",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328850001",
            "telephone_number": "866-293-3500",
            "fax_number": "866-293-3535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824531",
            "telephone_number": "866-293-3500",
            "fax_number": "866-293-3535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RCOA-ADVENTIST HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-25",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "MCGEE",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CHAIRMAN & CEO",
        "authorized_official_telephone_number": "561-477-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "CA",
            "license": "6838-17",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF CA PROVIDER NUMBER",
            "identifier": "ZZZ66594Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventist Health PET/CT - Ukiah",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael E Ranuio, REHAB SPEC
• Jeffrey Alan Rapp, MD
• Clinton Rathbun
• Terri T. Rathbun, MA
• Joshua Russell Ray
• Sean A Re, MFT
• Emily Elizabeth Rea, LM, CPM
• Reach Air Medical Services LLC
• John Glenn Reber, RN
• Paula Redding

• Mobile Radiology Clinic/Center in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Mobile Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.