EASTERN PLUMAS HEALTH CARE DISTRICT NPI 1114923919

NPI Information

NPI: 1114923919
Provider Name: EASTERN PLUMAS HEALTH CARE DISTRICT
Classification: Clinic/Center - 261QR1300X
Specialization: Rural Health
Entity Type: Organization
Doing Business As: EASTERN PLUMAS HEALTH CARE PORTOLA
Address: 480 1ST AVE
PORTOLA, CA
ZIP 96122
Phone: (530) 832-6600

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NPI Details

EASTERN PLUMAS HEALTH CARE DISTRICT is a rural health clinic center in Portola, CA. EASTERN PLUMAS HEALTH CARE DISTRICT NPI is 1114923919. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Eastern Plumas Health Care Portola.

The provider's business location address is:

480 1ST AVE
PORTOLA, CA
ZIP 96122-405
Phone: (530) 832-6600

The provider's authorized official is Jerilee Nelson .
The authorized official title is Cfo and has the following contact phone number (530) 832-6578.

The enumeration date for this NPI number is 6/27/2005 and was last updated on 12/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171M00000X	Case Manager/Care Coordinator				No
2	261QR1300X	Clinic/Center	Rural Health	230000014	CALIFORNIA	No
3	261QR1300X	Clinic/Center	Rural Health	058522	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RHM18522F	MEDICAID	CALIFORNIA
2	ZZZ30855Z	OTHER	CALIFORNIA	BLUE SHILED CLINIC PRO FE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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