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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