# FRONTIER VILLAGE FAMILY HEALTH CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477667384
- **Authorized official:** DR. JAGRAJ S NIJJAR MD (PRESIDENT/CEO)
- **Authorized official phone:** (530) 528-7650

## Contact information

- **Practice address:** 645 ANTELOPE BLVD STE 24, RED BLUFF, CA 96080-2463
- **Practice address phone:** (530) 528-7650
- **Practice address fax:** (530) 528-7655
- **Mailing address:** 645 ANTELOPE BLVD STE 24, RED BLUFF, CA 96080-2463
- **Mailing address phone:** (530) 528-7650
- **Mailing address fax:** (530) 528-7655

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 08/08/2014