MEDICARE: TEHAMA COUNTY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2400X	Prison Health Clinic/Center

General Provider Information

NPI Number	:	1578427001
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEHAMA COUNTY

Provider Business Mailing Address
First Line	:	PO BOX 729
Second Line	:
City	:	RED BLUFF
State	:	CA
Zip	:	96080-0729
Country	:	US
Telephone Number	:	530-529-7719
Fax Number	:	530-528-7614

Provider Business Practice Location Address
First Line	:	502 OAK ST
Second Line	:
City	:	RED BLUFF
State	:	CA
Zip	:	96080-3356
Country	:	US
Telephone Number	:	530-529-7719
Fax Number	:	530-528-7614

Authorized Official
Title or Position	:	ADMINISTRATIVE SERGEANT
Name	:	TREVOR LINDEMAN
Credential	:
Telephone Number	:	530-528-7610

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “TEHAMA COUNTY ” Practice Location

Language	Start Address	Practice Location

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