Organization
SHASTA COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY BRANDON THORNOCK (CEO)
(530) 246-5074
Entity
Organization
Contact information
Practice address
1035 PLACER ST, REDDING, CA 96001-1170
(530) 246-5710
(530) 241-7838
Mailing address
PO BOX 992790, REDDING, CA 96099-2790
(530) 246-5710
(530) 241-7838
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
230000171
CA
1041C0700X
Clinical Social Worker
230000171
CA
207NP0225X
Pediatric Dermatology Physician
230000171
CA
207Q00000X
Family Medicine Physician
230000171
CA
207R00000X
Internal Medicine Physician
230000171
CA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
230000171
CA
207RI0200X
Infectious Disease Physician
230000171
CA
207RR0500X
Rheumatology Physician
230000171
CA
207V00000X
Obstetrics & Gynecology Physician
230000171
CA
208000000X
Pediatrics Physician
230000171
CA
2080P0202X
Pediatric Cardiology Physician
230000171
CA
2085U0001X
Diagnostic Ultrasound Physician
230000171
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363AM0700X
Medical Physician Assistant
230000171
CA
363LF0000X
Family Nurse Practitioner
230000171
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC70418F
SCHC MEDI-CAL NUMBER
CA
Enumeration date
07/13/2006
Last updated
10/16/2024
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