Organization · Type 2 NPI

Redding Rancheria

Federally Qualified Health Center (FQHC) · Weaverville, CA

NPI number 1386164580 Active

Practice location

81 Arbuckle Court
Weaverville, CA 96093

Call (530) 623-0021 Map

Fax (530) 623-0025

Mailing address

1441 Liberty St
Redding, CA 96001-0811

Other practice locations

31660 Hwy 3, Weaverville, CA 96093 · (530) 623-0021

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

5 other providers at this address

Other federally qualified health center (fqhc) providers in Weaverville

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NPI record

NPI: 1386164580
Entity type: Organization (Type 2)
Issued: Jun 20, 2017
Last updated: Jun 1, 2022
Status: Active
Subpart: Yes of Redding Rancheria

Other names

<unavail>
Redding Rancheria Trinity Health Center · doing business as
Redding Rancheria Trinity Health Center · doing business as

Authorized official

Mrs. Lori Hernandez
Administrator
(530) 226-1740

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1386164580

Redding Rancheria's National Provider Identifier is 1386164580, issued on Jun 20, 2017. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Weaverville, CA. The record was last updated on Jun 1, 2022.