Redding Rancheria
NPI #1831724053 in Shasta Lake, California
Provider Information
- NPI Number
- 1831724053
- Entity Type
- Organization
- Organization Name
- Redding Rancheria
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Mar 9, 2020
- Last Updated
- Sep 21, 2021
Practice Location
- Address
- 4174 ASHBY CT
- City
- Shasta Lake
- State
- California
- ZIP Code
- 96019-9215
- Phone
- (530) 224-2700
Authorized Official
- Name
- TAMRA DAWN OLSON
- Title
- AUTHORIZED OFFICIAL
- Phone
- (530) 224-2700
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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