Organization Active NPI

North Valley Emergency Doctors, Inc

  • Emergency Medicine Physician
  • Colusa, CA
National Provider Identifier
1114430121
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.