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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHASTA COMMUNITY HEALTH CENTER

Active Organization

SHASTA COMMUNITY HEALTH CENTER is a Federally Qualified Health Center organization located in SHASTA LAKE, California. NPI 1013932797 is currently active in the NPPES registry. Verify at CMS.

Federally Qualified Health Center · SHASTA LAKE, CA

Registration Details

NPI Number
1013932797
Provider Type
Organization
NPI Issued
Jul 13, 2006 (20.066473437121 yrs)
Last Updated
Oct 16, 2024
Licenses
230000325 (CA)
230000325 (CA)
230000325 (CA)
230000325 (CA)

Practice Information

Address
4215 FRONT ST
SHASTA LAKE, CA, 960199430
Browse CA providers · Browse ZIP 96019
Phone
5302465896
Fax
5302417838
Primary Specialty
Federally Qualified Health Center
261QF0400X
Additional Specialty
Family Medicine
Additional Specialty
Medical Physician Assistant
Additional Specialty
Family Nurse Practitioner

Other Federally Qualified Health Center Organizations in SHASTA LAKE, CA

Name NPI
REDDING RANCHERIA 1831724053
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.