Healthcare Provider Details

I. General information

NPI: 1407943566
Provider Name (Legal Business Name): SUNSET URGENT CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/09/2006
Last Update Date: 01/26/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3689 EUREKA WAY
REDDING CA
96001-0177
US

IV. Provider business mailing address

3689 EUREKA WAY
REDDING CA
96001-0177
US

V. Phone/Fax

Practice location:
  • Phone: 530-247-4211
  • Fax: 530-247-4241
Mailing address:
  • Phone: 530-247-4211
  • Fax: 530-247-4241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WENDY M WALTON
Title or Position: BILLING SUPERVISOR
Credential: CPC
Phone: 530-247-4211