Provider Demographics
NPI:1447658380
Name:CASCADE EMERGENCY MEDICINE INC.
Entity type:Organization
Organization Name:CASCADE EMERGENCY MEDICINE INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF MEDICAL OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:STUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD, ARDMS
Authorized Official - Phone:530-859-0477
Mailing Address - Street 1:5727 DUNSMUIR AVE
Mailing Address - Street 2:
Mailing Address - City:DUNSMUIR
Mailing Address - State:CA
Mailing Address - Zip Code:96025-2008
Mailing Address - Country:US
Mailing Address - Phone:530-859-0477
Mailing Address - Fax:888-296-3923
Practice Address - Street 1:5727 DUNSMUIR AVE
Practice Address - Street 2:
Practice Address - City:DUNSMUIR
Practice Address - State:CA
Practice Address - Zip Code:96025-2008
Practice Address - Country:US
Practice Address - Phone:530-859-0477
Practice Address - Fax:888-296-3923
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-09
Last Update Date:2014-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine
No291U00000XLaboratoriesClinical Medical Laboratory