NPIMap

Organization Active NPI

County of Shasta

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Redding, CA
National Provider Identifier
1124355896
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
4523 Issued in CA
Legal business name
COUNTY OF SHASTA
Practice address
2615 Breslauer Way
Redding, CA 96001-4247
Phone
(530) 245-6411
Fax
(530) 225-5245
NPI assigned
Nov 17, 2009
Organization subpart
Yes
Parent organization
COUNTY OF SHASTAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Aleesha EdwardsNPI 1659421626
Title
Clinical Program Coordinator
Phone
(530) 245-6872

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 4523 CA Primary

Addresses

Primary practice location

2615 Breslauer Way
Redding, CA 96001-4247

Mailing address

PO Box 496005
Redding, CA 96049-6005
Phone (530) 229-8396

Other identifiers 1

IdentifierTypeStateIssuer
261QR0405XOtherCADRUG MEDICAL

Other names 1

  • Shasta County Women's Recovery and Resiliency Service Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Shasta County Health de33 organizations share this tax ID, including this one
Part of
Shasta County Health de

Other organizations with this tax ID 32

Organizations that report the same tax identification number in the National Provider Directory.

View all 32

Locations

2615 Breslauer Way
Redding, CA 96001
Phone (530) 215-9981

1506 Market St
Redding, CA 96001
Phone (530) 225-5786

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258416000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1124355896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496005",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960496005",
            "telephone_number": "530-229-8396",
            "fax_number": "503-225-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 BRESLAUER WAY",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960014247",
            "telephone_number": "530-245-6411",
            "fax_number": "530-225-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF SHASTA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COUNTY OF SHASTA",
        "enumeration_date": "2009-11-17",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ALEESHA",
        "authorized_official_title_or_position": "CLINICAL PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "530-245-6872"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "4523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDICAL",
            "identifier": "261QR0405X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shasta County Women's Recovery and Resiliency Service",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Redding, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.