GOLD COUNTRY HEALTH INITIATIVE, LLC – NPI #1932666575
Family Medicine

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

GOLD COUNTRY HEALTH INITIATIVE, LLC is a provider located in JACKSON, CA. NPPES has assigned the NPI number 1932666575 to GOLD COUNTRY HEALTH INITIATIVE, LLC on March 01, 2019. 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 7 years ago on Dec 06, 2019. 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 GOLD COUNTRY HEALTH INITIATIVE, LLC below.

NPI Profile for
GOLD COUNTRY HEALTH INITIATIVE, LLC

NPI Number
1932666575
Enumeration Date

(more than 7 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
GOLD COUNTRY HEALTH INITIATIVE, LLC
Primary location
820/830 STATE HIGHWAY 88
JACKSON, CA 95642
Phone: (209) 610-1524 Fax:
1 Other location(s):
830 State Highway 88
Jackson, CA 95642
Phone: (209) 610-1524
Mailing address
PO BOX 4057
STOCKTON, CA 95204-0057
Phone: Fax:
Organization Subpart
No
Authorized Official
ERNEST VASTI
OWNER
Phone: (209) 610-1524
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)

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.