ENTERPRISE FAMILY HEALTH & DENTAL CENTER
NPI 1669004123
Clinic/Center - Federally Qualified Health Center (FQHC) in Redding, CA

Active since February 12, 2020CLIA 05D2290197 · Waiver
1201 INDUSTRIAL ST, REDDING, CA 96002(530) 246-5710 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2024, Feb 12, 2020 (2 updates tracked since 2020).

About Enterprise Family Health & Dental Center NPPES

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

ENTERPRISE FAMILY HEALTH & DENTAL CENTER (NPI 1669004123) is a healthcare organization registered as a federally qualified health center (fqhc) in Redding, California and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Jeffery Brandon Thornock, Ceo, as its authorized official.

NPPES Registry Identity

NPI1669004123
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameSHASTA COMMUNITY HEALTH CENTER
Location Address1201 INDUSTRIAL STRedding, CA 96002-0757
Mailing AddressPo Box 992790Redding, CA 96099-2790 · (530) 246-5710
Organization SubpartNo
Authorized OfficialJeffery Brandon ThornockCeo · (530) 246-5074
Enumeration DateFebruary 12, 2020
Last NPPES UpdateOctober 16, 20242 updates tracked since enumeration
NPPES CertifiedOctober 16, 2024
NPI 1669004123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedOptometristTaxonomy 152W00000X
Also ListedSpecialistTaxonomy 174400000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
1201 INDUSTRIAL ST, Redding, CA 96002

Other Names 1

Doing Business AsEnterprise Family Health & Dental Center

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 05D2290197

Enterprise Family Health And Dental Care · Redding, CA
Active · expires Sep 22, 2027
CLIA Number05D2290197
Laboratory TypeCommunity Clinic
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorCollin W. Lynn
Laboratory Phone(530) 646-3932
Laboratory LocationEnterprise Family Health And Dental Care1201 Industrial Street, Redding, CA 96002
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 14

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

Dentist
1201 INDUSTRIAL ST
REDDING, CA 96002
Dental Hygienist
1201 INDUSTRIAL ST
REDDING, CA 96002
Nurse Practitioner (Psychiatric/Mental Health)
1201 INDUSTRIAL ST
REDDING, CA 96002
Marriage & Family Therapist
1201 INDUSTRIAL ST
REDDING, CA 96002
Dentist
1201 INDUSTRIAL ST
REDDING, CA 96002
Peer Specialist
1201 INDUSTRIAL ST
REDDING, CA 96002
Dentist
1201 INDUSTRIAL ST
REDDING, CA 96002
Marriage & Family Therapist
1201 INDUSTRIAL ST
REDDING, CA 96002

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 1669004123. It was assigned to this organization in the NPPES registry on February 12, 2020. The provider is doing business as Enterprise Family Health & Dental Center.

Where is Shasta Community Health Center located?

Shasta Community Health Center is located at 1201 Industrial St, Redding, CA 96002. 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 05D2290197) is associated with this NPI, valid through September 22, 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.