SHASTA COMMUNITY TELEMEDICINE AND TRAINING CENTER
NPI 1114533171
Clinic/Center - Federally Qualified Health Center (FQHC) in Redding, CA
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 05D0618142
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 07-09-2027
About SHASTA COMMUNITY TELEMEDICINE AND TRAINING CENTER
This page provides the complete NPI Profile along with additional information for Shasta Community Telemedicine And Training Center, a primary care provider established in Redding, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1114533171 assigned on September 2020. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Shasta Community Telemedicine And Training Center operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Shasta Community Telemedicine And Training Center. The authorized official of this NPI record is Mr. Jeffery Brandon Thornock (Chief Executive Officer)
- NPI
- 1114533171 Verify this NPI
- Provider Legal Name
- SHASTA COMMUNITY HEALTH CENTER
- Other Organization Name
- SHASTA COMMUNITY TELEMEDICINE AND TRAINING CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1756 CONTINENTAL ST REDDING, CA 96001
- Location Phone
- (530) 246-5710
- Mailing Address
- PO BOX 992790 REDDING, CA 96099
- Mailing Phone
- (530) 246-5710
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-16-2020
- Last Update Date
- 10-16-2024
- Code Navigator
A primary care provider (PCP) like Shasta Community Telemedicine And Training Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207VM0101X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 4 | 2084N0400X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 5 | 2084P0800X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | |
| 6 | 2084P0804X | Allopathic & Osteopathic Physicians | Psychiatry & Neurology |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0618142
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- July 10, 2025
- Certificate Expiration Date
- July 09, 2027
- Laboratory Director
- DARRICK NELSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Shasta Community Telemedicine And Training Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 5 providers are registered at the same or a nearby location.
REDDING, CA 96001
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114533171, enumerated as an "organization" on September 16, 2020.
The provider is located at 1756 CONTINENTAL ST REDDING, CA 96001 and the phone number is (530) 246-5710.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
