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NPI Code Detail

MEDICARE: REMI VISTA INC.

MEDICARE: REMI VISTA INC.
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
1251B00000XCase Management Agency125001555CA

General Provider Information

NPI Number : 1558314161
Entity Type Code : Organization
Provider Name (Legal Business Name) : REMI VISTA INC.
Provider Business Mailing Address
First Line : PO BOX 494100
Second Line :
City : REDDING
State : CA
Zip : 96049-4100
Country : US
Telephone Number : 530-245-5805
Fax Number : 530-245-0340
Provider Business Practice Location Address
First Line : 3960 WALNUT DR
Second Line :
City : EUREKA
State : CA
Zip : 95503-8938
Country : US
Telephone Number : 707-268-8722
Fax Number : 707-268-0218
Authorized Official
Title or Position : BILLING ADMINISTRATOR
Name : TRACEY JO MONSON
Credential :
Telephone Number : 530-245-5808
Provider Enumeration Date : 05/18/2006
Last Update Date : 01/17/2020

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Directions to “REMI VISTA INC. ” Practice Location

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