Provider First Line Business Practice Location Address:
110 BUTTE ST
Provider Second Line Business Practice Location Address:
PRIME WEST CONSORTIUM SHASTA REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
REDDING
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
96001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-244-5400
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/25/2026