SHASTA COMMUNITY HEALTH CENTER


Address: 16300 Cloverdale Rd, Anderson, CA 96007-8209
Phone: 5302465910

SHASTA COMMUNITY HEALTH CENTER (NPI# 1013931476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013931476
Entity Type Organization
Organization Name SHASTA COMMUNITY HEALTH CENTER
Other Organization Name HAPPY VALLEY FAMILY HEALTH CENTER
Practice Address 16300 Cloverdale Rd
Anderson
CA 96007-8209
Mailing Address Po Box 992790
Redding
CA 96099-2790
Practice Telephone 5302465910
Practice Fax Number 5302417838
Mailing Telephone 5302465910
Mailing Fax Number 5302417838
Enumeration Date 2006-07-27
Last Update Date 2010-01-08
Authorized Official Name MR. DEAN C. GERMANO (CHIEF EXECUTIVE OFFICER)
Authorized Official Telephone 5302465126
Is Organization Subpart Y
Parent Organization Name SHASTA COMMUNITY HEALTH CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant 230000286 CA Physician Assistants & Advanced Practice Nursing Providers
N 363L00000X Nurse Practitioner 230000286 CA Physician Assistants & Advanced Practice Nursing Providers
Y 207Q00000X Family Medicine 230000286 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA SCHC-HV MEDI-CAL NUMBER FHC70755F 01

Other Provider/Organization Names

Other Name Type Code
Happy Valley Family Health Center Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1538181557 Shasta Community Health Center Dentist 1400 Market Street, Redding, CA 96001 2006-07-25
1013932797 Shasta Community Health Center Dentist 4215 Front St, Shasta Lake, CA 96019-9430 2006-07-13
1942225719 Shasta Community Health Center Dentist 2801 Silver St, Anderson, CA 96007-4239 2006-07-13
1114533171 Shasta Community Health Center Internal Medicine 1756 Continental St, Redding, CA 96001-1240 2020-09-16
1669004123 Shasta Community Health Center Social Worker 3270 Churn Creek Rd, Redding, CA 96002-2504 2020-02-12
1356815542 Shasta Community Health Center Social Worker 980 Placer St, Redding, CA 96001-1126 2019-01-22
1710450929 Shasta Community Health Center Obstetrics & Gynecology 1900 Railroad Ave, Redding, CA 96001-1802 2019-01-10
1699171660 Shasta Community Health Center Social Worker 3184 Churn Creek Rd, Redding, CA 96002-2122 2014-11-18
1164848487 Shasta Community Health Center Social Worker 1035 Placer St, Redding, CA 96001-1125 2014-03-11
1417033614 Shasta Community Health Center Health Maintenance Organization 1035 Placer St, Redding, CA 96001-1125 2006-10-31

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities SHASTA COMMUNITY HEALTH CENTER 1035 Placer St, Redding, CA 96001-1125

Office Location

Street Address 16300 CLOVERDALE RD
City ANDERSON
State CA
Zip Code 96007-8209

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700921194 Happy Valley Union School District Local Education Agency (LEA) 16300 Cloverdale Rd, Anderson, CA 96007-8209 2007-02-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780948497 Marilee Ruth King Veterinarian 3100 W Center St, Anderson, CA 96007 2012-06-27
1881821064 William Martin Reuss Iv Dentist 1930 North Barney St., Anderson, CA 96007 2009-06-16
1063676898 Adriana Elia Vazquez Licensed Vocational Nurse 7175 Eastsidee Rd, Anderson, CA 96007 2008-07-10
1730211103 Danene Renee Mercill Dentist 2817 Childress Rd, Anderson, CA 96007 2007-03-12
1750457388 Debra Marie Wright Family Medicine 2830 East Street, Anderson, CA 96007 2006-11-27
1346315538 Susan Frances Capella Occupational Therapist 3300 Franklin St, Anderson, CA 96007 2006-11-22
1205917127 Walmart Stores, Inc. Technician/Technologist 5000 Rhonda Road, Anderson, CA 96007 2006-10-18
1063527372 Steven Edward Ahrens Dentist 1901 Barney Rd, Anderson, CA 96007 2006-08-20
1255340568 Paul C Davainis Family Medicine 2965 East St, Anderson, CA 96007 2006-08-05
1700137882 Roberta Ann Samples Registered Nurse 2830 East St, Anderson, CA 96007 2012-09-28
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902364680 Medexpress Primary Care South Carolina, P.C. Family Medicine 955 Boscobel Rd, Anderson, SC 29625-6704 2019-03-12
1740760560 Direct Access Md, LLC Family Medicine 803 N Fant St Ste 2a, Anderson, SC 29621-5718 2018-08-21
1427546233 Amanda Coker Burnette Family Medicine 3000 East Greenville Street, Suite 3700, Anderson, SC 29621 2018-04-26
1740719574 William Charles Vanness II Family Medicine 4014 Creedmoor Pl, Anderson, IN 46011-1605 2017-06-06
1679012900 Community Health Network Family Medicine 307 Cottage Ave, Anderson, IN 46012-3404 2017-02-20
1295183382 Marissa Gail Copeland Family Medicine 2000 E Greenville St Ste 1600, Anderson, SC 29621-1719 2016-05-30
1396127569 Jack Parker Miller Jr. Family Medicine 2000 E Greenville St Ste 3600, Anmed Health Family Medicine Residency Prog., Anderson, SC 29621-1725 2015-06-24
1457743361 Community Health Network Family Medicine 4500 Dan Patch Cir, Anderson, IN 46013-3161 2015-03-02
1275883738 Anderson University Family Medicine 316 Boulevard, Abney Gymnasium, Box 999, Anderson, SC 29621-4002 2012-09-12
1306191077 Carolina Primary Care and Diabetes Center LLC Family Medicine 3320 N Highway 81, Anderson, SC 29621-3626 2012-07-19
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Competitor

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City ANDERSON
Zip Code 96007

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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