Mission Provider Services, Inc.

LBN: Mission Provider Services, Inc.
Mission Provider Services, Inc. is an health care organization with primary practice located at 11560 Wilvern Ln , Redding CA 96003-8619. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Mission Provider Services, Inc. can be contacted via phone (530) 241-9535, or through Emerson, Dana via phone (530) 222-5633.

Contact Information

Primary practice address
11560 Wilvern Ln Redding CA 96003-8619
Phone: (530) 241-9535
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Emerson, Dana
Phone: (530) 222-5633

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X California

Profile Details

NPI number 1649326547
LBN Legal business name Mission Provider Services, Inc.
DBA Doing business as
Authorized official Emerson, Dana
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1649326547 NPPES
California Other 55G451 DHS ID NUMBER

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