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Organization
YOUR NEIGHBORHOOD HEALTH CLINIC, INC
Active
Organization
YOUR NEIGHBORHOOD HEALTH CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MICHELE GIBSON (OFFICE MANAGER)
(530) 222-9643
Entity
Organization
Contact information
Practice address
3330 CHURN CREEK RD, STE D1, REDDING, CA 96002-2532
(530) 222-9643
(530) 222-9602
Mailing address
3330 CHURN CREEEK ROAD, SUITE D1, REDDING, CA 96002
(530) 222-9643
(530) 222-9602
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G28035
MEDICARE ID
CA
05
—
RN4337340
—
CA
Enumeration date
06/21/2005
Last updated
03/04/2024
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