NPI | 1356815542 |
---|---|
Doing Business As | SHASTA COMMUNITY HEALTH CENTER URGENT CARE |
Entity Type | Organization |
Authorized Contact | JEFFERY BRANDON THORNOCK CEO 530-246-5710 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
174400000X Specialist | |
207R00000X Internal Medicine | |
207RG0100X Internal Medicine, Gastroenterology | |
207RN0300X Internal Medicine, Nephrology | |
207RP1001X Internal Medicine, Pulmonary Disease | |
207RR0500X Internal Medicine, Rheumatology | |
207W00000X Ophthalmology | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
208600000X Surgery | |
213E00000X Podiatrist | |
Enumeration Date | 2019-01-22 |
Last Update Date | 2024-10-16 |