Organization
FRONTIER VILLAGE FAMILY HEALTH CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAGRAJ S NIJJAR MD (PRESIDENT/CEO)
(530) 528-7650
Entity
Organization
Contact information
Practice address
645 ANTELOPE BLVD STE 24, RED BLUFF, CA 96080-2463
(530) 528-7650
(530) 528-7655
Mailing address
645 ANTELOPE BLVD STE 24, RED BLUFF, CA 96080-2463
(530) 528-7650
(530) 528-7655
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RHM53909G
—
CA
Enumeration date
08/18/2006
Last updated
08/08/2014
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