Active NPI
North Valley Emergency Doctors, Inc
- Emergency Medicine Physician
- Colusa, CA
National Provider Identifier
1114430121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- NORTH VALLEY EMERGENCY DOCTORS, INC
- Practice address
- 199 E Webster St
Colusa, CA 95932-2954 - Phone
- (330) 654-1181
- Fax
- (330) 654-9086
- NPI assigned
- Nov 13, 2017
- Last updated
- Nov 13, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kim Myers
- Title
- Billing Supervisor
- Phone
- (330) 654-1181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
199 E Webster St
Colusa, CA 95932-2954
Mailing address
4605 Nantucket Dr
Redding, CA 96001-5844
Phone (330) 654-1181
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510531200000",
"number": "1114430121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 NANTUCKET DR",
"city": "REDDING",
"state": "CA",
"postal_code": "960015844",
"telephone_number": "330-654-1181",
"fax_number": "330-654-9086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 E WEBSTER ST",
"city": "COLUSA",
"state": "CA",
"postal_code": "959322954",
"telephone_number": "330-654-1181",
"fax_number": "330-654-9086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH VALLEY EMERGENCY DOCTORS, INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-11-13",
"last_updated": "2017-11-13",
"status": "A",
"authorized_official_last_name": "MYERS",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "330-654-1181"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.