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NPI Code Detail

MEDICARE: SOLANO REGIONAL MEDICAL GROUP

MEDICARE: SOLANO REGIONAL MEDICAL GROUP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396873352
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOLANO REGIONAL MEDICAL GROUP
Provider Business Mailing Address
First Line : PO BOX 255668
Second Line :
City : SACRAMENTO
State : CA
Zip : 95865-5668
Country : US
Telephone Number : 800-470-0071
Fax Number :
Provider Business Practice Location Address
First Line : 2450 MARTIN RD
Second Line :
City : FAIRFIELD
State : CA
Zip : 94534-1018
Country : US
Telephone Number : 707-427-4900
Fax Number : 707-427-4965
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : RONALD B. RUSHFORD
Credential : MD
Telephone Number : 707-434-2049
Provider Enumeration Date : 03/01/2007
Last Update Date : 03/27/2009

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Directions to “SOLANO REGIONAL MEDICAL GROUP ” Practice Location

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