SHASTA COMMUNITY HEALTH CENTER (NPI# 1942225719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942225719 |
| Entity Type | Organization |
| Organization Name | SHASTA COMMUNITY HEALTH CENTER |
| Other Organization Name | ANDERSON FAMILY HEALTH/DENTAL CENTER |
| Practice Address |
2801 Silver St Anderson CA 96007-4239 |
| Mailing Address |
Po Box 992790 Redding CA 96099-2790 |
| Practice Telephone | 5303780486 |
| Practice Fax Number | 5302417838 |
| Mailing Telephone | 5303780486 |
| Mailing Fax Number | 5302417838 |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2010-01-08 |
| Authorized Official Name | MR. DEAN C. GERMANO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5302465726 |
| Is Organization Subpart | Y |
| Parent Organization Name | SHASTA COMMUNITY HEALTH CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 230000287 | CA | Dental Providers |
| N | 363A00000X | Physician Assistant | 230000287 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
230000287 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 207Q00000X | Family Medicine | 230000287 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SCHC-ANDY MEDI-CAL NUMBER | FHC70765F | 01 |
| Other Name | Type Code |
|---|---|
| Anderson Family Health/Dental Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013931476 | Shasta Community Health Center | Physician Assistant | 16300 Cloverdale Rd, Anderson, CA 96007-8209 | 2006-07-27 |
| 1538181557 | Shasta Community Health Center | Dentist | 1400 Market Street, Redding, CA 96001 | 2006-07-25 |
| 1013932797 | Shasta Community Health Center | Dentist | 4215 Front St, Shasta Lake, CA 96019-9430 | 2006-07-13 |
| 1114533171 | Shasta Community Health Center | Internal Medicine | 1756 Continental St, Redding, CA 96001-1240 | 2020-09-16 |
| 1669004123 | Shasta Community Health Center | Social Worker | 3270 Churn Creek Rd, Redding, CA 96002-2504 | 2020-02-12 |
| 1356815542 | Shasta Community Health Center | Social Worker | 980 Placer St, Redding, CA 96001-1126 | 2019-01-22 |
| 1710450929 | Shasta Community Health Center | Obstetrics & Gynecology | 1900 Railroad Ave, Redding, CA 96001-1802 | 2019-01-10 |
| 1699171660 | Shasta Community Health Center | Social Worker | 3184 Churn Creek Rd, Redding, CA 96002-2122 | 2014-11-18 |
| 1164848487 | Shasta Community Health Center | Social Worker | 1035 Placer St, Redding, CA 96001-1125 | 2014-03-11 |
| 1417033614 | Shasta Community Health Center | Health Maintenance Organization | 1035 Placer St, Redding, CA 96001-1125 | 2006-10-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SHASTA COMMUNITY HEALTH CENTER | 1035 Placer St, Redding, CA 96001-1125 |
| Street Address |
2801 SILVER ST |
| City | ANDERSON |
| State | CA |
| Zip Code | 96007-4239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336379668 | Thomas Paul Acton | Family Medicine | 2801 Silver St, Anderson, CA 96007-4239 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780948497 | Marilee Ruth King | Veterinarian | 3100 W Center St, Anderson, CA 96007 | 2012-06-27 |
| 1881821064 | William Martin Reuss Iv | Dentist | 1930 North Barney St., Anderson, CA 96007 | 2009-06-16 |
| 1063676898 | Adriana Elia Vazquez | Licensed Vocational Nurse | 7175 Eastsidee Rd, Anderson, CA 96007 | 2008-07-10 |
| 1730211103 | Danene Renee Mercill | Dentist | 2817 Childress Rd, Anderson, CA 96007 | 2007-03-12 |
| 1750457388 | Debra Marie Wright | Family Medicine | 2830 East Street, Anderson, CA 96007 | 2006-11-27 |
| 1346315538 | Susan Frances Capella | Occupational Therapist | 3300 Franklin St, Anderson, CA 96007 | 2006-11-22 |
| 1205917127 | Walmart Stores, Inc. | Technician/Technologist | 5000 Rhonda Road, Anderson, CA 96007 | 2006-10-18 |
| 1063527372 | Steven Edward Ahrens | Dentist | 1901 Barney Rd, Anderson, CA 96007 | 2006-08-20 |
| 1255340568 | Paul C Davainis | Family Medicine | 2965 East St, Anderson, CA 96007 | 2006-08-05 |
| 1700137882 | Roberta Ann Samples | Registered Nurse | 2830 East St, Anderson, CA 96007 | 2012-09-28 |
| Find all providers in zip 96007 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902364680 | Medexpress Primary Care South Carolina, P.C. | Family Medicine | 955 Boscobel Rd, Anderson, SC 29625-6704 | 2019-03-12 |
| 1740760560 | Direct Access Md, LLC | Family Medicine | 803 N Fant St Ste 2a, Anderson, SC 29621-5718 | 2018-08-21 |
| 1427546233 | Amanda Coker Burnette | Family Medicine | 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 | 2018-04-26 |
| 1740719574 | William Charles Vanness II | Family Medicine | 4014 Creedmoor Pl, Anderson, IN 46011-1605 | 2017-06-06 |
| 1679012900 | Community Health Network | Family Medicine | 307 Cottage Ave, Anderson, IN 46012-3404 | 2017-02-20 |
| 1295183382 | Marissa Gail Copeland | Family Medicine | 2000 E Greenville St Ste 1600, Anderson, SC 29621-1719 | 2016-05-30 |
| 1396127569 | Jack Parker Miller Jr. | Family Medicine | 2000 E Greenville St Ste 3600, Anmed Health Family Medicine Residency Prog., Anderson, SC 29621-1725 | 2015-06-24 |
| 1457743361 | Community Health Network | Family Medicine | 4500 Dan Patch Cir, Anderson, IN 46013-3161 | 2015-03-02 |
| 1275883738 | Anderson University | Family Medicine | 316 Boulevard, Abney Gymnasium, Box 999, Anderson, SC 29621-4002 | 2012-09-12 |
| 1306191077 | Carolina Primary Care and Diabetes Center LLC | Family Medicine | 3320 N Highway 81, Anderson, SC 29621-3626 | 2012-07-19 |
| Find all providers in ANDERSON | ||||
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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.