GREENVILLE RANCHERIA (NPI# 1568455053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568455053 |
| Entity Type | Organization |
| Organization Name | GREENVILLE RANCHERIA |
| Other Organization Name | GREENVILLE RANCHERIA TRIBAL HEALTH |
| Practice Address |
343 Oak Street Red Bluff CA 96080-4605 |
| Mailing Address |
P O Box 279 Greenville CA 95947-0279 |
| Practice Telephone | 5305288600 |
| Practice Fax Number | 5305288612 |
| Mailing Telephone | 5302847990 |
| Mailing Fax Number | 5302847299 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2012-08-03 |
| Authorized Official Name | MARGARET A ALSPAUGH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5305288600 |
| Authorized Official Credential | M.D., PLD |
| Is Organization Subpart | Y |
| Parent Organization Name | GREENVILLE RANCHERIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 32161 | CA | Dental Providers |
| N | 122300000X | Dentist | 56174 | CA | Dental Providers |
| N | 1223G0001X |
Dentist Specialization: General Practice |
59948 | CA | Dental Providers |
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | THP70684F | 05 |
| Other Name | Type Code |
|---|---|
| Greenville Rancheria Tribal Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340794 | Greenville Rancheria | Clinic/Center | 13545 Saint Marys Ave, Red Bluff, CA 96080-8884 | 2020-06-10 |
| 1326031881 | Greenville Rancheria | Clinic/Center | 410 Main Street, Greenville, CA 95947-0279 | 2005-08-30 |
| 1164780573 | Greenville Rancheria | Dentist | 343 Oak St, Red Bluff, CA 96080-3304 | 2012-04-24 |
| Street Address |
343 OAK STREET |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-4605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340794 | Greenville Rancheria | Clinic/Center | 13545 Saint Marys Ave, Red Bluff, CA 96080-8884 | 2020-06-10 |
| 1629421979 | Pacific Central Coast Health Centers | Clinic/Center | 2450 Sister Mary Columba Dr, Red Bluff, CA 96080-4356 | 2016-07-21 |
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| 1922625847 | Gardner Family Health Network | Clinic/Center | 1621 Gold St, Alviso, CA 95002-3530 | 2020-06-26 |
| 1841829876 | Pacific Central Coast Health Centers | Clinic/Center | 1992 Old Mission Dr Ste 140, Solvang, CA 93463-2302 | 2020-04-02 |
| 1740812866 | Tauna Mcginnis | Clinic/Center | 1570 Soquel Dr Ste 4, Santa Cruz, CA 95065-1715 | 2020-02-06 |
| 1275173403 | United Advocates for Children and Families | Clinic/Center | 2143 Hurley Way Ste 102, Sacramento, CA 95825-3297 | 2020-01-15 |
| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| 1841836301 | Beverlycare | Clinic/Center | 101 E Beverly Blvd Ste 301, Montebello, CA 90640-4316 | 2019-11-20 |
| Find all providers with the same taxonomy | ||||
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| 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.