Shasta Community Health Center
NPI #1013932797 in Shasta Lake, California
Provider Information
- NPI Number
- 1013932797
- Entity Type
- Organization
- Organization Name
- Shasta Community Health Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SHASTA COMMUNITY HEALTH CENTER
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 13, 2006
- Last Updated
- Oct 16, 2024
Practice Location
- Address
- 4215 FRONT ST
- City
- Shasta Lake
- State
- California
- ZIP Code
- 96019-9430
- Phone
- (530) 246-5896
Authorized Official
- Name
- MR. JEFFERY BRANDON THORNOCK
- Title
- CEO
- Phone
- (530) 246-5074
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
| Family Medicine |
| Physician Assistant - Medical — Medical |
| Nurse Practitioner - Family — Family |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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