Provider First Line Business Practice Location Address:
SHASTA REGIONAL MEDICAL CENTER
Provider Second Line Business Practice Location Address:
1000 BUTTE ST
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:
530-243-5965
Provider Enumeration Date:
08/04/2006