Organization
REDDING RANCHERIA
Active
Other names
Churn Creek Wellness and Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
TAMRA DAWN OLSON (AUTHORIZED OFFICIAL)
(530) 242-4523
Entity
Organization
Contact information
Practice address
3110 CHURN CREEK RD, REDDING, CA 96002-2101
(530) 226-1740
(530) 224-2738
Mailing address
1441 LIBERTY ST, REDDING, CA 96001-0811
(530) 226-1740
(530) 224-2738
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
2084P0800X
Psychiatry Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
11/30/2023
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