Healthcare Provider Details

I. General information

NPI: 1093508962
Provider Name (Legal Business Name): REDDING INTEGRITY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 LAKE BLVD STE A
REDDING CA
96003-2504
US

IV. Provider business mailing address

317 LAKE BLVD STE A
REDDING CA
96003-2504
US

V. Phone/Fax

Practice location:
  • Phone: 530-638-7474
  • Fax: 530-638-0405
Mailing address:
  • Phone: 530-638-7474
  • Fax: 530-638-0405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TRISH PATTERSON
Title or Position: CEO
Credential: NP
Phone: 530-638-7474