Organization
GREENVILLE RANCHERIA
Active
Parent organization
GREENVILLE RANCHERIA
Other names
Greenville Rancheria Tribal Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENVILLE RANCHERIA
Authorized official
MARGARET A ALSPAUGH M.D., PLD (EXECUTIVE DIRECTOR)
(530) 528-8600
Entity
Organization
Contact information
Practice address
343 OAK STREET, RED BLUFF, CA 96080-4605
(530) 528-8600
(530) 528-8612
Mailing address
P O BOX 279, GREENVILLE, CA 95947-0279
(530) 284-7990
(530) 284-7299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
32161
CA
122300000X
Dentist
56174
CA
1223G0001X
General Practice Dentistry
59948
CA
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THP70684F
—
CA
Enumeration date
08/30/2005
Last updated
08/03/2012
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