Shasta Community Health Center
Shasta Community Health Center provides Dentist services in Shasta Lake, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 5
Practice location Address checks out
4215 Frnt STShasta Lake, CA 96019-9430
Phone: (530) 246-5896
Fax: (530) 241-7838
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| Dentist | Taxonomy 122300000X · Licence 230000325 (CA) |
| Family Medicine Physician | Taxonomy 207Q00000X · Licence 230000325 (CA) |
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 230000325 (CA) |
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 230000325 (CA) |
Record details
| NPI number | 1013932797 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Shasta Community Health Center |
| Authorized official | Jeffery Thornock — Ceo · (530) 246-5074 |
| Other names | Shasta Lake Family Health & Dental Center |
| NPI enumerated | July 13, 2006 |
| Last updated in NPPES | October 16, 2024 |
| Certification date | October 16, 2024 |
| Mailing address | Po Box 992790, Redding, CA 96099-2790 |
Other providers in Shasta Lake
-
Zhibin Ji, DDS
4340 Shasta Dam Blvd, Shasta Lake, CA 96019-9420 · (530) 275-2910
-
Zhi Bin Ji Dental Corporation
4340 Shasta Dam Blvd, Shasta Lake, CA 96019-9420 · (530) 275-2910