Shasta Cascade Health Centers- Dunsmuir | |
4309 Stagecoach Road Dunsmuir CA 96025 | |
(530) 235-4138 | |
(530) 378-2453 |
Full Name | Shasta Cascade Health Centers- Dunsmuir |
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Speciality | Clinic/Center |
Location | 4309 Stagecoach Road, Dunsmuir, California |
Authorized Official Name and Position | Caleb J Ott (CEO) |
Authorized Official Contact | 5309642389 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Shasta Cascade Health Centers- Dunsmuir Po Box 1143 Mccloud CA 96057-1143 Ph: (530) 964-2389 | Shasta Cascade Health Centers- Dunsmuir 4309 Stagecoach Road Dunsmuir CA 96025 Ph: (530) 235-4138 |
NPI Number | 1376893420 |
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Provider Enumeration Date | 09/17/2012 |
Last Update Date | 11/01/2024 |
Medicare PECOS PAC ID | 3779494919 |
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Medicare Enrollment ID | O20130110000509 |
Identifier | Type | State | Issuer |
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1376893420 | NPI | - | NPPES |
00G320960 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550001195 (California) | Primary |
261QR1300X | Clinic/center - Rural Health | G32096 (California) | Secondary |