Provider Demographics
NPI:1356971550
Name:WESTERN HEALTH RESOURCES
Entity type:Organization
Organization Name:WESTERN HEALTH RESOURCES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. ADMINISTRATIVE ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:TAYLOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-406-1450
Mailing Address - Street 1:1 ADVENTIST HEALTH WAY
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3266
Mailing Address - Country:US
Mailing Address - Phone:916-406-1450
Mailing Address - Fax:916-406-2377
Practice Address - Street 1:500 ORIENT ST STE 105
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5672
Practice Address - Country:US
Practice Address - Phone:530-332-1035
Practice Address - Fax:530-891-1134
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHPC01581GMedicaid