# GREENVILLE RANCHERIA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREENVILLE RANCHERIA
- **Other names:** Greenville Rancheria Tribal Health
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568455053
- **Legal business name:** GREENVILLE RANCHERIA
- **Authorized official:** MARGARET A ALSPAUGH M.D., PLD (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (530) 528-8600

## Contact information

- **Practice address:** 343 OAK STREET, RED BLUFF, CA 96080-4605
- **Practice address phone:** (530) 528-8600
- **Practice address fax:** (530) 528-8612
- **Mailing address:** P O BOX 279, GREENVILLE, CA 95947-0279
- **Mailing address phone:** (530) 284-7990
- **Mailing address fax:** (530) 284-7299

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 32161 | CA | — |
| 122300000X | Dentist | 56174 | CA | — |
| 1223G0001X | General Practice Dentistry | 59948 | CA | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2005
- **Last updated:** 08/03/2012