Shasta Community Health Center
NPI 1669004123 · Federally Qualified Health Center (FQHC) · Redding, CA
Enrolled with Medicare as Part a Provider - Federally Qualified Health Center (fqhc) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shasta Community Health Center is a Federally Qualified Health Center (FQHC) organization in Redding, CA (NPI 1669004123).
Provider details
- NPI number
- 1669004123
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeffery Thornock, Ceo(530) 246-5074
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Optometrist152W00000X
Eye and Vision Services Providers
- Specialist174400000X
Other Service Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Ophthalmology Physician207W00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Enterprise Family Health & Dental Center
Registry dates
- Enumerated
- 2020-02-12
- Last updated
- 2024-10-16
- Certified
- 2024-10-16
Frequently asked questions
- What is Shasta Community Health Center's NPI number?
- Shasta Community Health Center's National Provider Identifier (NPI) is 1669004123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Shasta Community Health Center?
- Shasta Community Health Center is classified in the NPPES registry as Federally Qualified Health Center (FQHC) (Ambulatory Health Care Facilities).
- Where is Shasta Community Health Center located?
- Shasta Community Health Center's practice location on file with NPPES is 1201 Industrial St, Redding, CA 96002-0757.
- What is Shasta Community Health Center's phone number?
- The practice phone number listed in the NPPES registry for Shasta Community Health Center is (530) 246-5710.
- Does Shasta Community Health Center accept Medicare?
- Shasta Community Health Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Shasta Community Health Center?
- The authorized official listed on Shasta Community Health Center's NPPES record is Jeffery Thornock, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Shasta Community Health Center's NPI active?
- Yes — Shasta Community Health Center's NPI (1669004123) is active in the NPPES registry as of the last update on 2024-10-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.