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UKIAH ADVENTIST HOSPITAL

Allergy

Ukiah, California

Provider NPI: 1174583504

Organization Information:
Organization Name:  UKIAH ADVENTIST HOSPITAL


Practice Location:
275 HOSPITAL DR  UKIAH, CA 95482 US
Tel: 707-462-3111  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X207KA0200XPhysicians
Allergy & Immunology
Allergy
X2085R0202XPhysicians
Radiology

Other Provider Identifiers:

IssuerNumberStateType
BLUE SHIELDZZZ13334ZCA01
BLUE SHIELDZZZC2308ZCA01
BLUE SHIELDZZZC2307ZCA01
KAISER05433002CA01
BLUE SHIELDZZZ92403ZCA01
BLUE SHIELDZZZ18251ZCA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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