Organization
REDDING RANCHERIA
Active
Other names
Central Valley Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
TAMRA DAWN OLSON (AUTHORIZED OFFICIAL)
(530) 224-2700
Entity
Organization
Contact information
Practice address
4174 ASHBY CT, SHASTA LAKE, CA 96019-9215
(530) 224-2700
(530) 224-2738
Mailing address
4174 ASHBY CT, SHASTA LAKE, CA 96019-9215
(530) 224-2700
(530) 224-2738
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/09/2020
Last updated
09/21/2021
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