Shasta Cascade Health Centers
LBN: Mccloud Healthcare Clinic, Inc.
Shasta Cascade Health Centers is an health care organization with primary practice located at 116 W Minnesota Ave , Mccloud CA 96057-1143. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Mccloud Healthcare Clinic, Inc. can be contacted via phone (530) 964-2389, or through Ott, Caleb J via phone (530) 926-6309.
Contact Information
Primary practice address
116 W Minnesota Ave
Mccloud CA 96057-1143
Phone: (530) 964-2389
Fax: (530) 964-3141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 550001195 | California |
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X | 553934 | California |
Profile Details
| NPI number | 1164428488 |
|---|---|
| LBN Legal business name | Mccloud Healthcare Clinic, Inc. |
| DBA Doing business as | Shasta Cascade Health Centers |
| Authorized official | Ott, Caleb J |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164428488 | NPPES |
| California | Other | ZZZ24754Z | MEDICARE PART B |
| California | MEDICAID | RHM53934F | MEDICARE PART B |
| California | Other | ZZZ24754Z | MEDICARE PART B |
| California | Other | 55-3934 | MEDICARE PART B |
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