CLEAR CREEK MEDICAL CORP – NPI #1629583018
Family Medicine

A family medicine physician who specializes in the diagnosis and treatment of addictions.

CLEAR CREEK MEDICAL CORP is a provider located in REDDING, CA. NPPES has assigned the NPI number 1629583018 to CLEAR CREEK MEDICAL CORP on December 06, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207QA0401X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine, specializing in Addiction Medicine

The NPI profile was previously updated about 8 years ago on Mar 17, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLEAR CREEK MEDICAL CORP below.

NPI Profile for
CLEAR CREEK MEDICAL CORP

NPI Number
1629583018
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLEAR CREEK MEDICAL CORP
Primary location
1100 BUTTE ST
REDDING, CA 96001-0852
Phone: (530) 244-5400 Fax:
1 Other location(s):
2801 Eureka Way
Redding, CA 96001-0222
Phone: (530) 246-9000
Mailing address
738 SUNRIVER LN
REDDING, CA 96001-0166
Phone: (530) 355-2670 Fax:
Organization Subpart
No
Authorized Official
GREG GREENBERG
CEO
Phone: (530) 355-2670
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207QA0401X
- Family Medicine / Addiction Medicine (Primary)
CA A86727

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.