Organization
SHASTA COMMUNITY HEALTH CENTER
Active
Other names
Women's, Babies', and Children's Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY BRANDON THORNOCK (CEO)
(530) 246-5074
Entity
Organization
Contact information
Practice address
1000 PLACER STREET, REDDING, CA 96001-1125
(530) 246-5710
Mailing address
PO BOX 992790, REDDING, CA 96099-2790
(530) 246-5710
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/10/2019
Last updated
10/21/2024
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