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1035 Placer St Redding CA 96001-1170 | |
| (530) 246-5710 | |
| (530) 241-7838 |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1035 Placer St, Redding, California |
| Authorized Official Name and Position | Jeffery Brandon Thornock (CEO) |
| Authorized Official Contact | 5302295074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 992790 Redding CA 96099-2790 Ph: (530) 246-5710 | 1035 Placer St Redding CA 96001-1170 Ph: (530) 246-5710 |
| NPI Number | 1952328403 |
|---|---|
| Provider Enumeration Date | 07/17/2006 |
| Last Update Date | 10/16/2024 |
| Medicare PECOS PAC ID | 3870579816 |
|---|---|
| Medicare Enrollment ID | O20160127002562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952328403 | NPI | - | NPPES |
| FHC70418F | Other | CA | SCHC-HOPE MEDI-CAL NUMBER |
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