REDDING RANCHERIA NPI 1831724053

NPI Information

  • NPI: 1831724053
  • Provider Name: REDDING RANCHERIA
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: CENTRAL VALLEY HEALTHCARE
  • Address: 4174 ASHBY CT
    SHASTA LAKE, CA
    ZIP 96019
  • Phone: (530) 224-2700

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NPI Details

REDDING RANCHERIA is a federally qualified health center (fqhc) clinic center in Shasta Lake, CA. REDDING RANCHERIA NPI is 1831724053. The provider is registered as an organization entity type.
The provider Is Doing Business As Central Valley Healthcare.

The provider's business location address is:

4174 ASHBY CT
SHASTA LAKE, CA
ZIP 96019-215
Phone: (530) 224-2700
Fax: (530) 224-2738

The provider's authorized official is Tamra Dawn Olson .
The authorized official title is Authorized Official and has the following contact phone number (530) 224-2700.

The enumeration date for this NPI number is 3/9/2020 and was last updated on 9/21/2021.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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: 11/21/2025

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