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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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