| Redding Rancheria | |
|
4174 Ashby Ct Shasta Lake CA 96019-9215 | |
| (530) 224-2700 | |
| (530) 224-2738 |
| Full Name | Redding Rancheria |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4174 Ashby Ct, Shasta Lake, California |
| Authorized Official Name and Position | Tamra Dawn Olson (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5302242700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Redding Rancheria 4174 Ashby Ct Shasta Lake CA 96019-9215 Ph: (530) 224-2700 | Redding Rancheria 4174 Ashby Ct Shasta Lake CA 96019-9215 Ph: (530) 224-2700 |
| NPI Number | 1831724053 |
|---|---|
| Provider Enumeration Date | 03/09/2020 |
| Last Update Date | 09/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831724053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Harold S. Budhram, Md, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5145 Shasta Dam Blvd, Shasta Lake, CA 96019 Phone: 530-275-5421 Fax: 530-275-5156 | |
Ronald G Chambers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4174 Ashby Ct, Shasta Lake, CA 96019 Phone: 530-275-3094 Fax: 530-275-0803 |