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Contact Information

REDDING RANCHERIA
81 ARBUCKLE COURT
WEAVERVILLE, CA96093
 Phone: 530-623-0021
 Fax: 530-623-0025
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Federally Qualified Health Center (FQHC)

261QF0400X B4[14] Federally Qualified Health Center
Indicates primary specialty

NPI Profile & details for REDDING RANCHERIA

NPI # 1386164580
LBN Legal business name REDDING RANCHERIA
Authorized official LORI HERNANDEZ - (ADMINISTRATOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 06/20/2017
Last updated 06/01/2022 - About 4 years ago
Identifiers
CA Medicaid 100267288
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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