Dunsmuir Community Health Center

LBN: Mccloud Healthcare Clinic, Inc.
Dunsmuir Community Health Center is an health care organization with primary practice located at 4309 Stagecoach Road , Dunsmuir CA 96025. 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) 235-4138, or through Ott, Caleb J via phone (530) 964-2389.

Contact Information

Primary practice address
4309 Stagecoach Road Dunsmuir CA 96025
Fax: (530) 378-2453
Website:
Authorized official contact:
Name: Ott, Caleb J

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 550001195 California
Ambulatory Health Care Facilities / Rural Health 261QR1300X G32096 California

Profile Details

NPI number 1376893420
LBN Legal business name Mccloud Healthcare Clinic, Inc.
DBA Doing business as Dunsmuir Community Health Center
Authorized official Ott, Caleb J
Entity Organization
Organization subpart 1 No
Enumeration date Sep 17th, 2012
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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Identifiers

StateTypeNumberIssuer
All States NPI 1376893420 NPPES
California MEDICAID 00G320960

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