Chase Dennis Emergency Medical Group Inc

LBN: Chase Dennis Emergency Medical Group Inc
Chase Dennis Emergency Medical Group Inc is an health care organization with primary practice located at 1165 Montgomery Dr , Santa Rosa CA 95405-4801. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Allopathic & Osteopathic Physicians / Emergency Medicine is the primary health care specialty. Chase Dennis Emergency Medical Group Inc can be contacted via phone (925) 924-1600, or through Smith, Kristopher M via phone (925) 924-1600.

Contact Information

Primary practice address
1165 Montgomery Dr Santa Rosa CA 95405-4801
Phone: (925) 924-1600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Smith, Kristopher M
Phone: (925) 924-1600

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X

Profile Details

NPI number 1033152350
LBN Legal business name Chase Dennis Emergency Medical Group Inc
DBA Doing business as
Authorized official Smith, Kristopher M
Entity Organization
Organization subpart 1 No
Enumeration date Jun 14th, 2006
Last updated Oct 9th, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033152350 NPPES
California Other CN2451 MEDICARE RR
California Other DC7119 MEDICARE RR
California Other DD4942 MEDICARE RR
California Other DC2287 MEDICARE RR

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