REDDING RANCHERIA (NPI# 1386164580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386164580 |
| Entity Type | Organization |
| Organization Name | REDDING RANCHERIA |
| Other Organization Name | REDDING RANCHERIA TRINITY HEALTH CENTER |
| Practice Address |
31660 Hwy 3 Weaverville CA 96093 |
| Mailing Address |
1441 Liberty St Redding CA 96001-0811 |
| Practice Telephone | 5306230021 |
| Practice Fax Number | 5306230025 |
| Mailing Telephone | 5302242700 |
| Mailing Fax Number | 5302242738 |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2019-10-07 |
| Authorized Official Name | MRS. LORI HERNANDEZ (BILLING MANAGER) |
| Authorized Official Telephone | 5302261740 |
| Is Organization Subpart | Y |
| Parent Organization Name | REDDING RANCHERIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Redding Rancheria Trinity Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1164807533 | Redding Rancheria | Clinic/Center | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2015-07-27 |
| 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 |
31660 HWY 3 |
| City | WEAVERVILLE |
| State | CA |
| Zip Code | 96093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861981011 | Timothy Dobbs | Case Manager/Care Coordinator | 333 Tom Bell Rd, Weaverville, CA 96093 | 2018-05-03 |
| 1578093134 | Gregory James Lindley | Case Manager/Care Coordinator | 333 Tombell Road, Weaverville, CA 96093 | 2017-06-15 |
| 1134595614 | Tammerab Baudizzon | Case Manager/Care Coordinator | 51 Industrial Way, 333 Tom Bell Rd, Weaverville, CA 96093 | 2015-08-19 |
| 1023493913 | Robert Alan Millette | Registered Nurse | 81 Taylor St., Weaverville, CA 96093 | 2015-07-21 |
| 1316327331 | Ann Nguyen | Dentist | 100 Horsehoe Ln, Weaverville, CA 96093 | 2015-06-04 |
| 1962801225 | Daniel W Powers | Dentist | 91 Brooks Lane, Weaverville, CA 96093 | 2014-08-22 |
| 1275978496 | Tanya E Menezes | Counselor | 31660 Ca-3, Weaverville, CA 96093 | 2013-05-01 |
| 1568714939 | Angela Marie Benson | Counselor | 1640 Main St., Weaverville, CA 96093 | 2012-10-10 |
| 1922353242 | Megan Michelle Blanchard | Registered Nurse | #51 Industrial Park, Trinity County Health & Human Services, Weaverville, CA 96093 | 2012-07-24 |
| 1447505771 | Trinity County Health & Human Services | Public Health or Welfare | 51 Industrial Parkway, Weaverville, CA 96093 | 2012-07-24 |
| Find all providers in zip 96093 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | WEAVERVILLE |
| Zip Code | 96093 |
Please comment or provide details below to improve the information on REDDING RANCHERIA.
| 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.