1013932797 SHASTA COMMUNITY HEALTH CENTER
Federally Qualified Health Center (FQHC)
Active
Basic Information
- Organization Name
- SHASTA COMMUNITY HEALTH CENTER
- Enumeration Date
- July 13, 2006
- Last Update
- October 16, 2024
- Authorized Official
- MR. JEFFERY BRANDON THORNOCK
CEO
Phone: (530) 246-5074
Practice Location
- Address
- 4215 FRONT ST
SHASTA LAKE, CA 960199430 - Phone
- (530) 246-5896
- Fax
- (530) 241-7838
Mailing Address
- Address
- PO BOX 992790
REDDING, CA 960992790 - Phone
- (530) 246-5896
- Fax
- (530) 241-7836
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Dentist | 122300000X | Dentist | 230000325 | CA | No |
| Family Medicine Physician | 207Q00000X | Family Medicine | 230000325 | CA | No |
| Medical Physician Assistant Medical | 363AM0700X | Physician Assistant | 230000325 | CA | No |
| Family Nurse Practitioner Family | 363LF0000X | Nurse Practitioner | 230000325 | CA | No |
| Federally Qualified Health Center (FQHC) Federally Qualified Health Center (FQHC) | 261QF0400X | Clinic/Center | N/A | N/A | Primary |
Other Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC70877F | 01 | CA | SCHC-SLC MEDI-CAL NUMBER |
Frequently Asked Questions
What is SHASTA COMMUNITY HEALTH CENTER's NPI number?
SHASTA COMMUNITY HEALTH CENTER's NPI number is 1013932797.
Which doctor has NPI number 1013932797?
The doctor with NPI number 1013932797 is SHASTA COMMUNITY HEALTH CENTER.
What is SHASTA COMMUNITY HEALTH CENTER's practice address?
SHASTA COMMUNITY HEALTH CENTER's practice address is 4215 FRONT ST, SHASTA LAKE, CA, 960199430.
Which doctor practices at 4215 FRONT ST, SHASTA LAKE, CA, 960199430?
SHASTA COMMUNITY HEALTH CENTER practices at 4215 FRONT ST, SHASTA LAKE, CA, 960199430.
What is SHASTA COMMUNITY HEALTH CENTER's mailing address?
SHASTA COMMUNITY HEALTH CENTER's mailing address is PO BOX 992790, REDDING, CA, 960992790.
What is SHASTA COMMUNITY HEALTH CENTER's phone number?
SHASTA COMMUNITY HEALTH CENTER's phone number is (530) 246-5896.
Who is (530) 246-5896?
(530) 246-5896 is the phone number for SHASTA COMMUNITY HEALTH CENTER.
What is SHASTA COMMUNITY HEALTH CENTER's specialty?
SHASTA COMMUNITY HEALTH CENTER's specialty is Federally Qualified Health Center (FQHC).
What type of doctor is SHASTA COMMUNITY HEALTH CENTER?
SHASTA COMMUNITY HEALTH CENTER is a Federally Qualified Health Center (FQHC).
Is SHASTA COMMUNITY HEALTH CENTER a Federally Qualified Health Center (FQHC)?
Yes, SHASTA COMMUNITY HEALTH CENTER is a Federally Qualified Health Center (FQHC).
Is SHASTA COMMUNITY HEALTH CENTER still practicing?
Yes, SHASTA COMMUNITY HEALTH CENTER is currently practicing.
Is SHASTA COMMUNITY HEALTH CENTER accepting new patients?
SHASTA COMMUNITY HEALTH CENTER may be accepting new patients. Please call their office at (530) 246-5896 to inquire about availability.
Is NPI 1013932797 still active?
Yes, NPI 1013932797 is currently active.
Where does SHASTA COMMUNITY HEALTH CENTER practice?
SHASTA COMMUNITY HEALTH CENTER practices in SHASTA LAKE, CA.