PIT RIVER HEALTH SERVICE INC. NPI 1891762985

NPI Information

NPI: 1891762985
Provider Name: PIT RIVER HEALTH SERVICE, INC.
Classification: Clinic/Center - 261QR1300X
Entity Type: Organization

Specialization: Rural Health

CLIA Number: 05D0618299

Address:
36977 PARK AVE
BURNEY, CA
ZIP 96013
Phone: (530) 335-5090
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PIT RIVER HEALTH SERVICE, INC. is a rural health clinic center in Burney, CA. PIT RIVER HEALTH SERVICE, INC. NPI is 1891762985. The provider is registered as an organization entity type.

The provider's business location address is:

36977 PARK AVE
BURNEY, CA
ZIP 96013
Phone: (530) 335-5090
Fax: (530) 335-5241

The provider's authorized official is Brandi Gibbs .
The authorized official title is Business Services Manager and has the following contact phone number (530) 335-5090.

The CLIA number assigned to this NPI record is 05D0618299 - other - tribal clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/7/2006 and was last updated on 1/25/2023.

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
1	332800000X	Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy				No
2	261QC1500X	Clinic/Center	Community Health	230000179	CALIFORNIA	No
3	261QR1300X	Clinic/Center	Rural Health	230000179	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	THP00001F	MEDICAID	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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