Organization · Type 2 NPI
Redding Rancheria
Federally Qualified Health Center (FQHC) · Shasta Lake, CA
NPI number
1831724053
Active
Practice location
4174 Ashby Ct
Shasta Lake, CA 96019-9215
Fax (530) 224-2738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
Other federally qualified health center (fqhc) providers in Shasta Lake
About NPI 1831724053
Redding Rancheria's National Provider Identifier is 1831724053, issued on Mar 9, 2020. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Shasta Lake, CA. The record was last updated on Sep 21, 2021.