Redding Rancheria Indian Health Svcs

LBN: Redding Rancheria
Redding Rancheria Indian Health Svcs is an health care organization with primary practice located at 1441 Liberty St , Redding CA 96001-0848. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy, Suppliers / Clinic Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Redding Rancheria can be contacted via phone (530) 224-2700, or through Hayward, Glen via phone (530) 226-1737.

Contact Information

Primary practice address
1441 Liberty St Redding CA 96001-0848
Phone: (530) 224-2700
Fax: (530) 224-2726
Website:
Map and Directions
Authorized official contact:
Name: Hayward, Glen
Phone: (530) 226-1737

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X PHE38097 California
Suppliers / Pharmacy 333600000X
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1528102282
LBN Legal business name Redding Rancheria
DBA Doing business as Redding Rancheria Indian Health Svcs
Authorized official Hayward, Glen
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2007
Last updated Sep 21st, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528102282 NPPES
Other 2094126 PK
MEDICAID PHA380970 PK

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