1518903400 NPI number — REHAB MEDICINE ASSOCIATES, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518903400 NPI number — REHAB MEDICINE ASSOCIATES, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
REHAB MEDICINE ASSOCIATES, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518903400
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/24/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
236 W.EAST AVE STE A
Provider Second Line Business Mailing Address:
PMB 253
Provider Business Mailing Address City Name:
CHICO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95926-7239
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-342-2777
Provider Business Mailing Address Fax Number:
530-342-2776

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
578 RIO LINDO AVE
Provider Second Line Business Practice Location Address:
STE 1
Provider Business Practice Location Address City Name:
CHICO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95926-1800
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-342-2777
Provider Business Practice Location Address Fax Number:
530-342-2776
Provider Enumeration Date:
06/21/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FILBRANDT
Authorized Official First Name:
PHILLIP
Authorized Official Middle Name:
ROSS
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
530-342-2777

Provider Taxonomy Codes

  • Taxonomy code: 208100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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