Provider Demographics
NPI:1366407504
Name:GOLD COUNTRY HOSPITALISTS, THE HOSPITALIST SERVICE, INC.
Entity type:Organization
Organization Name:GOLD COUNTRY HOSPITALISTS, THE HOSPITALIST SERVICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREASURER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:530-274-6773
Mailing Address - Street 1:2036 NEVADA CITY HWY
Mailing Address - Street 2:SUITE 307
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-8461
Mailing Address - Country:US
Mailing Address - Phone:530-274-6773
Mailing Address - Fax:530-477-8375
Practice Address - Street 1:155 GLASSON WAY
Practice Address - Street 2:
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5723
Practice Address - Country:US
Practice Address - Phone:530-274-6773
Practice Address - Fax:530-477-8375
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAINDIVIDUAL LICENSES207R00000X, 207RC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Not Answered207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0100180Medicaid
CAGR0100180Medicaid