SEELY MEDICAL CORPORATION (NPI# 1497783096) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497783096 |
Entity Type | Organization |
Organization Name | SEELY MEDICAL CORPORATION |
Practice Address |
2175 Rosaline Ave Medical Staff Office Redding CA 96049-6009 |
Mailing Address |
Po Box 1280 Palo Cedro CA 96073-1280 |
Practice Telephone | 5305151699 |
Mailing Telephone | 5305151699 |
Enumeration Date | 2006-06-30 |
Last Update Date | 2007-11-13 |
Authorized Official Name | DR. TERI A BOSTER (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 5305151699 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | G83413 | CA | Ambulatory Health Care Facilities |
Street Address |
2175 ROSALINE AVE MEDICAL STAFF OFFICE |
City | REDDING |
State | CA |
Zip Code | 96049-6009 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932102498 | Mercy Surgery Center, Lp | Clinic/Center | 2175 Rosaline Ave, Ste A, Redding, CA 96001-2509 | 2005-05-27 |
1427658558 | Daniel Thomas Henderson | Speech-Language Pathologist | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2020-10-28 |
1164032603 | Teresa Fe Fox | Registered Nurse | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2020-08-07 |
1336757889 | Kathryn Feris | Registered Nurse | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2020-07-21 |
1417584111 | Savannah Abel-smith | Physician Assistant | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2020-03-24 |
1053945253 | Joseph Harrison Tippetts | Physician Assistant | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2020-02-26 |
1285277400 | Annalee Toombs | Physician Assistant | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2019-10-21 |
1013561851 | Cep America - Anesthesia PC | Anesthesiology | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2019-07-30 |
1104484492 | Paragon Imaging and Intervention Inc | Radiology | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2019-05-31 |
1831650993 | Cristina Maria Mackey | Student in an Organized Health Care Education/Training Program | 2175 Rosaline Ave, Redding, CA 96001-2549 | 2019-03-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861853160 | Shasta County In Home Services | In Home Supportive Care | 2640 Breslauer Way, Redding, CA 96049 | 2016-03-14 |
1720143530 | Teri Ann Boster | Emergency Medicine | 2175 Rosaline Ave., Medical Staff Office, Redding, CA 96049-6009 | 2006-12-22 |
1609916972 | Joanne Owens Wright | Counselor | 2640 Breslauer Way, Redding, CA 96049-6048 | 2007-02-07 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1992241707 | Jessica Denise Sutton | Clinic/Center | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2017-01-17 |
1649603713 | Redding Surgery Center LLC | Clinic/Center | 1238 West St, Redding, CA 96001-0415 | 2013-08-13 |
1689831935 | Kalmbach Chiropractic | Clinic/Center | 2779 Bechelli Ln, Redding, CA 96002-1924 | 2008-05-22 |
1336306695 | Lollar Chiropractic | Clinic/Center | 153 Hartnell Ave, Suite 100, Redding, CA 96002-1856 | 2008-05-22 |
1376669481 | Redding Primary Care Medical Group, Inc. | Clinic/Center | 2123 Eureka Way, Redding, CA 96001-0428 | 2007-03-21 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.