Organization
SHASTA COMMUNITY HEALTH CENTER
Active
Other names
Juvenile Hall
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY BRANDON THORNOCK (CEO)
(530) 246-5710
Entity
Organization
Contact information
Practice address
2684 RADIO LN, REDDING, CA 96001-4232
(530) 246-5710
Mailing address
PO BOX 992790, REDDING, CA 96099-2790
(530) 246-5779
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
207QA0000X
Adolescent Medicine (Family Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
06/08/2022
Last updated
10/16/2024
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