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SHASTA COMMUNITY TELEMEDICINE AND TRAINING CENTER
NPI 1114533171
Clinic/Center - Federally Qualified Health Center (FQHC) in Redding, CA

Active since September 16, 2020CLIA 05D0618142 · Waiver
1756 CONTINENTAL ST, REDDING, CA 96001(530) 246-5710 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2024, Sep 16, 2020 (2 updates tracked since 2020).

About Shasta Community Telemedicine And Training Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHASTA COMMUNITY TELEMEDICINE AND TRAINING CENTER (NPI 1114533171) is a healthcare organization registered as a federally qualified health center (fqhc) in Redding, California and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through July 9, 2027 and lists Jeffery Brandon Thornock, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1114533171
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSHASTA COMMUNITY HEALTH CENTER
Location Address1756 CONTINENTAL STRedding, CA 96001-1240
Mailing AddressPo Box 992790Redding, CA 96099-2790 · (530) 246-5710
Phone(530) 246-5710
Organization SubpartNo
Authorized OfficialJeffery Brandon ThornockChief Executive Officer · (530) 246-5074
Enumeration DateSeptember 16, 2020
Last NPPES UpdateOctober 16, 20242 updates tracked since enumeration
NPPES CertifiedOctober 16, 2024
✔ NPI 1114533171 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · RheumatologyTaxonomy 207RR0500X
Also ListedObstetrics & Gynecology · Maternal & Fetal MedicineTaxonomy 207VM0101X
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X
1756 CONTINENTAL ST, Redding, CA 96001
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Other Names 1

Doing Business AsShasta Community Telemedicine And Training Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0618142

Shasta Community Health Center · Redding, CA
Active · expires Jul 9, 2027
CLIA Number05D0618142
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateJuly 10, 2025
Certificate Expiration DateJuly 9, 2027
Laboratory DirectorDarrick Nelson
Laboratory Phone(530) 646-3932
Laboratory LocationShasta Community Health Center1035 Placer Street, Redding, CA 96001
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLEN KROHN M.D.
Family Medicine
1756 CONTINENTAL ST
REDDING, CA 96001
Shasta County (530) 244-4772
BRIAN D. CRUME D.C.
Chiropractor
1756 CONTINENTAL ST
REDDING, CA 96001
Shasta County (530) 244-4772
MRS. CHRISTIE HELWIG CMT
Massage Therapist
1756 CONTINENTAL ST
REDDING, CA 96001
Shasta County (530) 999-1889
BRIAN CRUME DC A CHIROPRACTIC CORPORATION
Chiropractor
1756 CONTINENTAL ST
REDDING, CA 96001
Shasta County (530) 244-4772
ALLEN C KROHN MD INC
Preventive Medicine (Occupational Medicine)
1756 CONTINENTAL ST
REDDING, CA 96001
Shasta County (530) 244-4772

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shasta Community Health Center's NPI number?

The NPI number for Shasta Community Health Center is 1114533171. It was assigned to this organization in the NPPES registry on September 16, 2020. The provider is doing business as Shasta Community Telemedicine And Training Center.

Where is Shasta Community Health Center located?

Shasta Community Health Center is located at 1756 Continental St, Redding, CA 96001. The listed phone number is (530) 246-5710.

What is Shasta Community Health Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does Shasta Community Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0618142) is associated with this NPI, valid through July 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Shasta Community Health Center was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.