Shasta Valley Community Health Center

LBN: Mccloud Healthcare Clinic, Inc.
Shasta Valley Community Health Center is an health care organization with primary practice located at 824 Pine St , Mount Shasta CA 96067-2137. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Mccloud Healthcare Clinic, Inc. can be contacted via phone (530) 926-4528, or through Ott, Caleb J via phone (530) 964-2389.

Contact Information

Primary practice address
824 Pine St Mount Shasta CA 96067-2137
Phone: (530) 926-4528
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ott, Caleb J
Phone: (530) 964-2389

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1033675582
LBN Legal business name Mccloud Healthcare Clinic, Inc.
DBA Doing business as Shasta Valley Community Health Center
Authorized official Ott, Caleb J
Entity Organization
Organization subpart 1 Yes
Enumeration date Feb 20th, 2019
Last updated Mar 23rd, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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