MEDICARE: TEHAM COUNTY HEALTH SERVICES AGENCY

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	251S00000X	Community/Behavioral Health Agency	VN83859	CA

General Provider Information

NPI Number	:	1730241050
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TEHAM COUNTY HEALTH SERVICES AGENCY

Provider Business Mailing Address
First Line	:	PO BOX 838
Second Line	:
City	:	COTTONWOOD
State	:	CA
Zip	:	96022-0838
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1860 WALNUT ST
Second Line	:
City	:	RED BLUFF
State	:	CA
Zip	:	96080-3611
Country	:	US
Telephone Number	:	530-527-5637
Fax Number	:

Authorized Official
Title or Position	:	LVN
Name	:	LYNDA ABEL
Credential	:
Telephone Number	:	530-527-5637

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	08/22/2020

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