Provider Demographics
NPI:1043510845
Name:HELMUTH F VOLLGER
Entity Type:Organization
Organization Name:HELMUTH F VOLLGER
Other - Org Name:NORTHCOAST RADIOLOGY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HLEMUTH
Authorized Official - Middle Name:F
Authorized Official - Last Name:VOLLGER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-443-0424
Mailing Address - Street 1:1225 MARSHALL ST
Mailing Address - Street 2:STE7
Mailing Address - City:CRESCENT CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95531-2281
Mailing Address - Country:US
Mailing Address - Phone:707-464-1989
Mailing Address - Fax:707-464-9593
Practice Address - Street 1:800 E WASHINGTON BLVD
Practice Address - Street 2:
Practice Address - City:CRESCENT CITY
Practice Address - State:CA
Practice Address - Zip Code:95531-8359
Practice Address - Country:US
Practice Address - Phone:707-464-8511
Practice Address - Fax:707-464-8935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-26
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG634912085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty