CHICO IMMEDIATE CARE MEDICAL CENTER, INC. (NPI# 1669884250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669884250 |
| Entity Type | Organization |
| Organization Name | CHICO IMMEDIATE CARE MEDICAL CENTER, INC. |
| Other Organization Name | PREMIERE PRIMARY CARE |
| Practice Address |
251 Cohasset Rd Ste 300 Chico CA 95926-2235 |
| Mailing Address |
376 Vallombrosa Ave Chico CA 95926-3900 |
| Practice Telephone | 5308911676 |
| Mailing Telephone | 5308911676 |
| Mailing Fax Number | 5308911833 |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2014-12-11 |
| Authorized Official Name | BRADLEY SMITH (CEO/PRESIDENT) |
| Authorized Official Telephone | 5308911676 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Premiere Primary Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972556249 | Chico Immediate Care Medical Center, Inc. | Clinic/Center | 5875 Clark Rd, Paradise, CA 95969-4861 | 2006-05-18 |
| 1144276296 | Chico Immediate Care Medical Center, Inc. | Clinic/Center | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2006-05-26 |
| Street Address |
251 COHASSET RD STE 300 |
| City | CHICO |
| State | CA |
| Zip Code | 95926-2235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124508494 | Laurel Lynne Merz | Registered Nurse | 251 Cohasset Rd Ste 300, Chico, CA 95926-2235 | 2018-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104332576 | Asheley Dawn Kimble | Registered Nurse | 592 Lindo Ave, Chico, CA 95926 | 2017-12-21 |
| 1275050635 | Wa Meng Vang | Counselor | 560 Cohasset Rd #180, Chico, CA 95926 | 2017-08-26 |
| 1922538677 | Lisa Ann Milardovich | Physical Medicine & Rehabilitation | 1576 Hawthorne Ave, Chico, CA 95926 | 2017-06-15 |
| 1205364700 | Andrew Vercellino | Chiropractor | 1281 East Ave #100, Chico, CA 95926 | 2017-05-26 |
| 1205389095 | Michele Lando | Social Worker | 572 Rio Lindo Ave Ste 108, Chico, CA 95926 | 2016-07-27 |
| 1215397864 | Joseph Boone Wills IIi | Marriage & Family Therapist | 6 Governors Ln Ste C, Chico, CA 95926 | 2016-02-24 |
| 1356723001 | Erica White | Counselor | 109 Parmac Road, Suite 1, Chico, CA 95926 | 2015-06-18 |
| 1902285208 | Genuine Dbt Licensed Clinical Social Worker Inc | Psychologist | 1140 Mangrove Ave Ste D, Chico, CA 95926 | 2015-05-20 |
| 1255724324 | Linda K Zimbelman | Nurse Practitioner | 1645 Esplanade #1, Chico, CA 95926 | 2015-03-12 |
| 1366851040 | Jose Mendoza | Counselor | 590 Rio Lindo Avenue, Chico, CA 95926 | 2014-08-07 |
| Find all providers in zip 95926 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770859084 | Northern Valley Indian Health, Inc | Clinic/Center | 1515 Springfield Dr Ste 175, Chico, CA 95928 | 2012-03-30 |
| 1619070992 | Department of Veteran Affairs | Clinic/Center | 280 Cohasett Road, Chico, CA 95927 | 2006-09-05 |
| 1740634286 | Northern Valley Indian Health, Inc | Clinic/Center | 500 Cohasset Rd Ste 15, Chico, CA 95926-2260 | 2016-04-21 |
| 1437577624 | W. Allwyn Metherell, Dds Prof. Dental Corp | Clinic/Center | 1046 Mangrove Ave Ste C, Chico, CA 95926-3548 | 2014-04-03 |
| 1740516830 | Costco | Clinic/Center | 2100 Dr Martin Luther King Junior Pkwy, Chico, CA 95928-4422 | 2009-10-23 |
| 1114179405 | Northern Valley Indian Health | Clinic/Center | 845 W East Ave, Chico, CA 95926-2002 | 2008-10-17 |
| 1265567127 | Northern Valley Indian Health, Inc | Clinic/Center | 845 W East Ave, Chico, CA 95926-2002 | 2007-02-22 |
| 1144276296 | Chico Immediate Care Medical Center, Inc. | Clinic/Center | 376 Vallombrosa Ave, Chico, CA 95926-3900 | 2006-05-26 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.