Healthcare Provider Details

I. General information

NPI: 1154247229
Provider Name (Legal Business Name): COUNTY OF TEHAMA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1790 WALNUT ST
RED BLUFF CA
96080-3667
US

IV. Provider business mailing address

PO BOX 99
RED BLUFF CA
96080-0099
US

V. Phone/Fax

Practice location:
  • Phone: 530-527-4052
  • Fax: 530-527-1579
Mailing address:
  • Phone: 530-527-4052
  • Fax: 530-527-1579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2400X
TaxonomyPrison Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: TODD HANSEN
Title or Position: JUVENILE DETENTION SUPERINTENDENT
Credential:
Phone: 530-527-5380