Organization
SHASTA COMMUNITY HEALTH CENTER
Active
Other names
Shasta Community Health Center - Hope Van 2 - HOPE, Shasta Community Health Center - Mobile Unit 1
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFERY BRANDON THORNOCK (CEO)
(530) 229-5074
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
122300000X
Dentist
230000171
CA
207Q00000X
Family Medicine Physician
230000171
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC70418F
SCHC-HOPE MEDI-CAL NUMBER
CA
Enumeration date
07/17/2006
Last updated
10/16/2024
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