| Shasta County Public Health | |
|
2650 Breslauer Way Redding CA 96001-4246 | |
| (530) 225-5591 | |
| (530) 229-8190 |
| Full Name | Shasta County Public Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 2650 Breslauer Way, Redding, California |
| Authorized Official Name and Position | Donnell Ewert (DIRECTOR OF PUBLIC HEALTH) |
| Authorized Official Contact | 5302456296 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shasta County Public Health 2650 Breslauer Way Redding CA 96001-4246 Ph: (530) 225-5591 | Shasta County Public Health 2650 Breslauer Way Redding CA 96001-4246 Ph: (530) 225-5591 |
| NPI Number | 1588709182 |
|---|---|
| Provider Enumeration Date | 02/21/2007 |
| Last Update Date | 12/20/2013 |
| Medicare PECOS PAC ID | 8820081581 |
|---|---|
| Medicare Enrollment ID | O20131230000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588709182 | NPI | - | NPPES |
| ZZR11883F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (* (Not Available)) | Primary |
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