SHASTA COMMUNITY HEALTH CENTER NPI 1952328403

NPI Information

NPI: 1952328403
Provider Name: SHASTA COMMUNITY HEALTH CENTER

Other Name: HEALTH OUTREACH FOR PEOPLE EVERYWHERE

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1035 PLACER ST
REDDING, CA
ZIP 96001
Phone: (530) 246-5710
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SHASTA COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Redding, CA. SHASTA COMMUNITY HEALTH CENTER NPI is 1952328403. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Health Outreach For People Everywhere.

The provider's business location address is:

1035 PLACER ST
REDDING, CA
ZIP 96001-125
Phone: (530) 246-5710
Fax: (530) 241-7838

The provider's authorized official is Brandon Thornock .
The authorized official title is Chief Executive Officer and has the following contact phone number (530) 229-5074.

The enumeration date for this NPI number is 7/17/2006 and was last updated on 4/16/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		230000171	CALIFORNIA	No
2	207Q00000X	Family Medicine		230000171	CALIFORNIA	No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	FHC70418F	OTHER	CALIFORNIA	SCHC-HOPE MEDI-CAL NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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