Mount Shasta Health Center

LBN: Mountain Valleys Health Centers
Mount Shasta Health Center is an health care organization with primary practice located at 101 Old Mccloud Rd , Mount Shasta CA 96067-2796. 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. Mountain Valleys Health Centers can be contacted via phone (530) 999-9040, or through Watkins, Brandon via phone (530) 999-9010.

Contact Information

Primary practice address
101 Old Mccloud Rd Mount Shasta CA 96067-2796
Phone: (530) 999-9040
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Watkins, Brandon
Phone: (530) 999-9010

Health care specialties

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

Profile Details

NPI number 1629570320
LBN Legal business name Mountain Valleys Health Centers
DBA Doing business as Mount Shasta Health Center
Authorized official Watkins, Brandon
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2018
Last updated Jul 28th, 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 1629570320 NPPES
California MEDICAID 1629570320

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