Healthcare Provider Details
I. General information
NPI: 1982553384
Provider Name (Legal Business Name): SHASTA COMMUNITY HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/27/2026
Last Update Date: 01/27/2026
Certification Date: 01/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1035 PLACER ST STE 120
REDDING CA
96001-1170
US
IV. Provider business mailing address
1035 PLACER ST STE 120
REDDING CA
96001-1170
US
V. Phone/Fax
- Phone: 530-246-5710
- Fax:
- Phone: 530-246-5710
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DANIEL
SANTI
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 530-246-5778