| Redding Rancheria Trinity Health Center | |
|
81 Arbuckle Court Weaverville CA 96093 | |
| (530) 623-0021 | |
| (530) 623-0025 |
| Full Name | Redding Rancheria Trinity Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 81 Arbuckle Court, Weaverville, California |
| Authorized Official Name and Position | Lori Hernandez (ADMINISTRATOR) |
| Authorized Official Contact | 5302261740 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redding Rancheria Trinity Health Center 1441 Liberty St Redding CA 96001-0811 Ph: (530) 224-2700 | Redding Rancheria Trinity Health Center 81 Arbuckle Court Weaverville CA 96093 Ph: (530) 623-0021 |
| NPI Number | 1386164580 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 06/01/2022 |
| Medicare PECOS PAC ID | 7810969847 |
|---|---|
| Medicare Enrollment ID | O20171002000340 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386164580 | NPI | - | NPPES |
| 100267288 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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