Organization
SHASTA COMMUNITY HEALTH CENTER
Active
Other names
Shasta Community Telemedicine and Training Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY BRANDON THORNOCK (CHIEF EXECUTIVE OFFICER)
(530) 246-5074
Entity
Organization
Contact information
Practice address
1756 CONTINENTAL ST, REDDING, CA 96001-1240
(530) 246-5710
Mailing address
PO BOX 992790, REDDING, CA 96099-2790
(530) 246-5710
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
2084N0400X
Neurology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
09/16/2020
Last updated
10/16/2024
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