MEDICARE: CHICO FEMINIST WOMEN'S HEALTH CENTER

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	261QC1500X	Community Health Clinic/Center		CA
2	261QA0005X	Ambulatory Family Planning Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275710006
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHICO FEMINIST WOMEN'S HEALTH CENTER

Provider Business Mailing Address
First Line	:	PO BOX 494369
Second Line	:
City	:	REDDING
State	:	CA
Zip	:	96049-4369
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4415 SONOMA HWY
Second Line	:	SUITE D
City	:	SANTA ROSA
State	:	CA
Zip	:	95409-7100
Country	:	US
Telephone Number	:	707-537-1174
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KATRINA CANTRELL
Credential	:
Telephone Number	:	530-222-5570

Provider Enumeration Date	:	01/23/2008
Last Update Date	:	12/05/2023

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