REDDING RANCHERIA (NPI# 1164807533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164807533 |
| Entity Type | Organization |
| Organization Name | REDDING RANCHERIA |
| Other Organization Name | CHURN CREEK HEALTHCARE |
| Practice Address |
3184 Churn Creek Rd Redding CA 96002-2122 |
| Practice Telephone | 5302242700 |
| Practice Fax Number | 5302242738 |
| Mailing Telephone | 5307682436 |
| Mailing Fax Number | 5302211327 |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | MRS. LORI HERNANDEZ (BILLING MANAGER) |
| Authorized Official Telephone | 5302261740 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
20A7013 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Churn Creek Healthcare | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386164580 | Redding Rancheria | Clinic/Center | 31660 Hwy 3, Weaverville, CA 96093 | 2017-06-20 |
| 1104859354 | Redding Rancheria | Clinic/Center | 1441 Liberty St, Redding, CA 96001-0848 | 2006-07-09 |
| 1831724053 | Redding Rancheria | Clinic/Center | 4174 Ashby Ct, Shasta Lake, CA 96019-9215 | 2020-03-09 |
| 1528102282 | Redding Rancheria | Pharmacy | 1441 Liberty St, Redding, CA 96001-0848 | 2007-02-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | REDDING RANCHERIA | 2000 Redding Rancheria Rd, Redding, CA 96001-5528 |
| Street Address |
3184 CHURN CREEK RD |
| City | REDDING |
| State | CA |
| Zip Code | 96002-2122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980493 | Christina Cosh-davis | Chiropractor | 3184 Churn Creek Rd, Redding, CA 96002 | 2005-08-29 |
| 1982183760 | Nicole Anne Cassedy | Nurse Practitioner | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2018-08-13 |
| 1992241707 | Jessica Denise Sutton | Clinic/Center | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2017-01-17 |
| 1699171660 | Shasta Community Health Center | Social Worker | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2014-11-18 |
| 1083998967 | Francine Jenet Hutchings | Pharmacist | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2011-10-10 |
| 1942522495 | Sarah L Planchard | Physician Assistant | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2010-02-25 |
| 1700063328 | Jessica L Cupp | Dietitian, Registered | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2008-01-25 |
| 1891991923 | John D Egolf | Nurse Practitioner | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2007-06-25 |
| 1699897165 | Summer Lynn Ross | Physician Assistant | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2007-04-04 |
| 1184768863 | Angelique Michelle Gray | Counselor | 3184 Churn Creek Rd, Redding, CA 96002 | 2007-02-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265048037 | Daniel Eli Bartee | Counselor | 555 Leila Ave #44, Redding, CA 96002 | 2020-09-17 |
| 1407467129 | Drake Exstrom | Dentist | 2315 North Bechelli Ln, Suite A, Redding, CA 96002 | 2020-08-14 |
| 1285123117 | Victor Treatment Centers, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 20846 Clairvaux Drive, Redding, CA 96002 | 2018-05-07 |
| 1528510153 | Daniel Conklin | Pharmacist | 2880 Churn Creek, Redding, CA 96002 | 2016-10-31 |
| 1740653864 | Votc, Inc. | Substance Abuse Rehabilitation Facility | 3590 El Portal Dr., # 7, 8, 9, 10, 15, 16, & 17, Redding, CA 96002 | 2015-11-11 |
| 1801226253 | Katie Marie Mccullough-stubbs | Marriage & Family Therapist | 3300 Church Creek, Redding, CA 96002 | 2013-11-21 |
| 1801234026 | Kathy Lynne Hawk | Community Health Worker | 2051 Hilltop Dr A-13, Redding, CA 96002 | 2013-06-10 |
| 1619247590 | Wright Education Services | Social Worker | 2660 Victor Ave, Redding, CA 96002 | 2012-01-09 |
| 1275828840 | Shannika Tricia Dao | Dentist | 2695 Bechelli Ln, Redding, CA 96002 | 2011-06-13 |
| 1336442664 | Small Talk Pediatric Services, Inc. | Speech-Language Pathologist | 2526 Goodwater Ave., Suite A, Redding, CA 96002 | 2010-12-08 |
| Find all providers in zip 96002 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548818990 | Hill Country Community Clinic | Clinic/Center | 2710 Eureka Way Ste 1, Redding, CA 96001-0230 | 2019-08-29 |
| 1457844318 | Hill Country Community Clinic | Clinic/Center | 1401 Gold St Ste A, Redding, CA 96001-1937 | 2018-06-14 |
| 1447791348 | Hill Country Community Clinic | Clinic/Center | 2042 Market St, Redding, CA 96001-1926 | 2017-03-13 |
| 1396285755 | Hill Country Community Clinic | Clinic/Center | 317 Lake Blvd, Suite A, Redding, CA 96003-2504 | 2017-03-06 |
| 1588104947 | Hill Country Community Clinic | Clinic/Center | 351 Northpoint Dr, Suite C, Redding, CA 96003-2502 | 2017-03-06 |
| 1689114043 | Hill Country Community Clinic | Clinic/Center | 1401 Gold St Ste B, Redding, CA 96001-1937 | 2017-03-06 |
| 1104859354 | Redding Rancheria | Clinic/Center | 1441 Liberty St, Redding, CA 96001-0848 | 2006-07-09 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.