Adventist Health Physicians Network
Organization Active NPI Internal Medicine Physician · Saint Helena, CA
NPI 1376840462 · NPPES record last updated Feb 25, 2011
Key facts
- NPI
- 1376840462
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ADVENTIST HEALTH PHYSICIANS NETWORK
- Practice address
- 999 Adams St
Suite 500
Saint Helena, CA 94574-1148 - Phone
- (707) 963-5294
- Fax
- (707) 963-3271
- NPI assigned
- Feb 25, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- ADVENTIST HEALTH PHYSICIANS NETWORK
Authorized official
- Name
- Mr. Jeff Conklin
- Title
- President
- Phone
- (916) 789-4209
Practitioners 1
-
Marc D. Lasher, D.O.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050407000633 | CA | Part B Supplier - Clinic/Group Practice | 3274580972 |
Receives reassigned benefits from 808 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
- Part of
- Clafiornia Med FD
Locations
999 Adams St
Ste 201
Saint Helena, CA 94574
Phone (707) 963-5294
1001 Adams St
Saint Helena, CA 94574
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
999 Adams St
Suite 500
Saint Helena, CA 94574-1148
Mailing address
1001 Adams St
Saint Helena, CA 94574-1107
Phone (707) 968-2865
Other names
- St. Helena Internal Medicine
Other providers in Saint Helena, CA
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
- Adventist Health Physicians Network
All providers in Saint Helena, CA · Internal Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 25, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.