Healthcare Provider Details

I. General information

NPI: 1447658380
Provider Name (Legal Business Name): CASCADE EMERGENCY MEDICINE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2014
Last Update Date: 12/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5727 DUNSMUIR AVE
DUNSMUIR CA
96025-2008
US

IV. Provider business mailing address

5727 DUNSMUIR AVE
DUNSMUIR CA
96025-2008
US

V. Phone/Fax

Practice location:
  • Phone: 530-859-0477
  • Fax: 888-296-3923
Mailing address:
  • Phone: 530-859-0477
  • Fax: 888-296-3923

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QE0002X
TaxonomyEmergency Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: DR. AARON STUTZ
Title or Position: CHIEF MEDICAL OFFICER
Credential: M.D., ARDMS
Phone: 530-859-0477