Mccloud Healthcare Clinic, Inc. in Mccloud - Federally Qualified Health Center (fqhc)
Mccloud Healthcare Clinic, Inc. - NPI 1164428488
Mccloud Healthcare Clinic, Inc. is a Federally Qualified Health Center (fqhc) in Mccloud, California. Mccloud Healthcare Clinic, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Mccloud Healthcare Clinic, Inc. is 1164428488. The last update date is 2023-03-23.
Mccloud Healthcare Clinic, Inc.'s current location address is Po Box 1143, Mccloud, California. You can contact this provider via phone number 5309642389 and fax number 5309643141. The mailing address for Mccloud Healthcare Clinic, Inc. is Po Box 1143, Mccloud, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mccloud Healthcare Clinic, Inc. |
|---|---|
| Address | Po Box 1143, Mccloud, California |
| Phone Number | 5309642389 |
| Fax Number | 5309643141 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Ott J Caleb |
| Telephone Number | 5309266309 |
NPI Number Detail
| NPI Number | 1164428488 |
|---|---|
| Provider Enumeration Date | 2005-06-22 |
| Last Updated Date | 2023-03-23 |
Provider Mailing Address Detail
| Address | Po Box 1143 |
|---|---|
| City | Mccloud |
| State | California (CA) |
| Post Code | 9605711430 |
| Phone Number | 5309642389 |
| Fax Number | 5309643141 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 550001195 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ24754Z | CA | MEDICARE PART B | |
| RHM53934F | CA | -- | |
| ZZZ24754Z | CA | BCBS | |
| 55-3934 | CA | CAHABA GBA |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mccloud Healthcare Clinic, Inc.?
The Mccloud Healthcare Clinic, Inc. has been issued the NPI (National Provider Identifier) 1164428488 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mccloud Healthcare Clinic, Inc.?
The Mccloud Healthcare Clinic, Inc. is situated at Po Box 1143, in the city of Mccloud, state of CA, with the zip code 9605711430.
What is Mccloud Healthcare Clinic, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mccloud Healthcare Clinic, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
On what date did the Mccloud Healthcare Clinic, Inc. receive the assignment of its 1164428488 from the Centers for Medicare & Medicaid Services?
The Mccloud Healthcare Clinic, Inc. was issued its 1164428488 by the Centers for Medicare & Medicaid Services on 2005-06-22.
When was the information related to Mccloud Healthcare Clinic, Inc. most recently updated or refreshed?
The details pertaining to the Mccloud Healthcare Clinic, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2023-03-23.