Organization
GREENVILLE RANCHERIA
Active
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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