NPIMap

Organization Active NPI

Greenville Rancheria

  • Community Health Clinic/Center
  • Red Bluff, CA
National Provider Identifier
1194340794
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
GREENVILLE RANCHERIA
Practice address
13545 Saint Marys Ave
Red Bluff, CA 96080-8884
Phone
(530) 528-8600
Fax
(530) 528-8612
NPI assigned
Jun 10, 2020
Last updated
Oct 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Authorized official

Name
Michael Ahmad
Title
Cfo
Phone
(530) 528-8600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Clinic/Center 261QC1500X NU Primary

Addresses

Primary practice location

13545 Saint Marys Ave
Red Bluff, CA 96080-8884

Mailing address

PO Box 279
Greenville, CA 95947-0279
Phone (530) 528-3481

National Provider Directory

National Provider Directory
Tax ID family
Greenville Rancheria Tribal6 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Locations

13545 Saint Marys Ave
Red Bluff, CA 96080
Phone (530) 528-8600

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1194340794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "GREENVILLE",
            "state": "CA",
            "postal_code": "959470279",
            "telephone_number": "530-528-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13545 SAINT MARYS AVE",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960808884",
            "telephone_number": "530-528-8600",
            "fax_number": "530-528-8612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENVILLE RANCHERIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-528-8600"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.