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Organization
REDDING RANCHERIA
Active
Organization
REDDING RANCHERIA
Active
Other names
REDDING RANCHERIA INDIAN HEALTH SVCS
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN HAYWARD (EXECUTIVE DIRECTOR)
(530) 226-1737
Entity
Organization
Contact information
Practice address
1441 LIBERTY ST, REDDING, CA 96001-0848
(530) 224-2700
(530) 224-2726
Mailing address
1441 LIBERTY ST, REDDING, CA 96001-0848
(530) 224-2700
(530) 224-2726
Taxonomy
Speciality
Code
Description
License number
State
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
PHE38097
CA
333600000X
Pharmacy
—
—
3336C0002X
Clinic Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2094126
PK
—
05
—
PHA380970
—
CA
Enumeration date
02/16/2007
Last updated
09/21/2021
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