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SHASTA COMMUNITY HEALTH CENTER

Clinical Neuropsychologist

Redding, California

Provider NPI: 1891710638

Organization Information:
Organization Name:  SHASTA COMMUNITY HEALTH CENTER
Authorized Official:  DEAN C. GERMANO  CHIEF EXECUTIVE OFFICER  530-2465726

Practice Location:
1035 PLACER ST  REDDING, CA 96001 US
Tel: 530-246-5710  Fax: 530-241-7838

Business Mailing Address:
PO BOX 992790  REDDING, CA 96099 US
Tel: 530-246-5710  Fax: 530-241-7838

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
CA
X1041C0700XBehavioral Health & Social Service Providers
Social Worker
CA
X207NP0225XPhysicians
Dermatology
CA
X207Q00000XPhysicians
Family Medicine
CA
X207R00000XPhysicians
Internal Medicine
CA
X207RE0101XPhysicians
Internal Medicine
CA
X207RI0200XPhysicians
Internal Medicine
CA
X207RR0500XPhysicians
Internal Medicine
CA
X207V00000XPhysicians
Obstetrics & Gynecology
CA
X208000000XPhysicians
Pediatrics
CA
X2080P0202XPhysicians
Pediatrics
CA
X208200000XPhysicians
Plastic Surgery
CA
X2085U0001XPhysicians
Radiology
CA
X363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
CA
X363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CA

Other Provider Identifiers:

IssuerNumberStateType
SCHC MEDI-CAL NUMBERFHC70418FCA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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