ENTERPRISE FAMILY HEALTH & DENTAL CENTER
NPI 1669004123
Clinic/Center - Federally Qualified Health Center (FQHC) in Redding, CA
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
Specialties & Licenses 9
Other Names 1
Group Practice 2
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, CAOther Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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.