Organization
SHASTA COMMUNITY HEALTH CENTER
Active
Organization
SHASTA COMMUNITY HEALTH CENTER
Active
Other names
Shasta Community Health Center Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY BRANDON THORNOCK (CEO)
(530) 246-5710
Entity
Organization
Contact information
Practice address
980 PLACER ST, REDDING, CA 96001-1126
(530) 246-5930
Mailing address
PO BOX 992790, REDDING, CA 96099-2790
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
174400000X
Specialist
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207RR0500X
Rheumatology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
208600000X
Surgery Physician
—
—
213E00000X
Podiatrist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/22/2019
Last updated
10/16/2024
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