MOUNTAIN VALLEYS HEALTH CENTERS NPI 1629570320

NPI Information

  • NPI: 1629570320
  • Provider Name: MOUNTAIN VALLEYS HEALTH CENTERS
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Doing Business As: MOUNT SHASTA HEALTH CENTER
  • Address: 101 OLD MCCLOUD RD
    MOUNT SHASTA, CA
    ZIP 96067
  • Phone: (530) 999-9040

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NPI Details

MOUNTAIN VALLEYS HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Mount Shasta, CA. MOUNTAIN VALLEYS HEALTH CENTERS NPI is 1629570320. The provider is registered as an organization entity type.
The provider Is Doing Business As Mount Shasta Health Center.

The provider's business location address is:

101 OLD MCCLOUD RD
MOUNT SHASTA, CA
ZIP 96067-796
Phone: (530) 999-9040

The provider's authorized official is Brandon Watkins .
The authorized official title is Cfo and has the following contact phone number (530) 999-9010.

The enumeration date for this NPI number is 3/8/2018 and was last updated on 7/28/2023.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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
11629570320MEDICAIDCALIFORNIA

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: 3/30/2025

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