Provider Demographics
NPI:1942204490
Name:JAMES D. TATE, M.D.
Entity Type:Organization
Organization Name:JAMES D. TATE, M.D.
Other - Org Name:PATIENTS HOSPITAL OF REDDING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/SOLE PROPRIETOR
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:TATE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-225-8700
Mailing Address - Street 1:2900 EUREKA WAY
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-0220
Mailing Address - Country:US
Mailing Address - Phone:530-225-8700
Mailing Address - Fax:530-225-8718
Practice Address - Street 1:2900 EUREKA WAY
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96001-0220
Practice Address - Country:US
Practice Address - Phone:530-225-8700
Practice Address - Fax:530-225-8718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-10
Last Update Date:2013-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA050697282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA050697AOtherBLUE CROSS
CAZZZD4501AOtherBLUE SHIELD
CAHSP40697FMedicaid
CAHSP30697FMedicaid
CA050697AOtherBLUE CROSS