Organization
GREENVILLE RANCHERIA
Active
Organization
GREENVILLE RANCHERIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIA LOUISE HAYWORTH CPC (BILLING SUPERVISOR)
(530) 528-8600
Entity
Organization
Contact information
Practice address
2638 EDITH AVE, REDDING, CA 96001-3043
(530) 244-7192
(530) 244-4185
Mailing address
2638 EDITH AVE, REDDING, CA 96001-3043
(530) 244-7192
(530) 244-4185
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
10/09/2025
Last updated
08/12/2026
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