NPI | 1952328403 |
---|---|
Doing Business As | SHASTA COMMUNITY HEALTH CENTER - MOBILE UNIT 1 |
Doing Business As | SHASTA COMMUNITY HEALTH CENTER - HOPE VAN 2 - HOPE |
Entity Type | Organization |
Authorized Contact | JEFFERY BRANDON THORNOCK CEO 530-229-5074 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 122300000X Dentist (Licence: CA 230000171) |
207Q00000X Family Medicine (Licence: CA 230000171) | |
Enumeration Date | 2006-07-17 |
Last Update Date | 2024-10-16 |