Provider Demographics
NPI:1407943566
Name:SUNSET URGENT CARE, INC
Entity Type:Organization
Organization Name:SUNSET URGENT CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:M
Authorized Official - Last Name:WALTON
Authorized Official - Suffix:
Authorized Official - Credentials:CPC
Authorized Official - Phone:530-247-4211
Mailing Address - Street 1:3689 EUREKA WAY
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0177
Mailing Address - Country:US
Mailing Address - Phone:530-247-4211
Mailing Address - Fax:530-247-4241
Practice Address - Street 1:3689 EUREKA WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0177
Practice Address - Country:US
Practice Address - Phone:530-247-4211
Practice Address - Fax:530-247-4241
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2013-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG45631OtherCALIFORNIA MEDICAL LICENS
CAG45631OtherCALIFORNIA MEDICAL LICENS
CA5541350001Medicare NSC