SHASTA CASCADE HEALTH CENTERS- DUNSMUIR – NPI #1376893420
Clinic/Center

SHASTA CASCADE HEALTH CENTERS- DUNSMUIR is an AHC clinic located in DUNSMUIR, CA. NPPES has assigned the NPI number 1376893420 to SHASTA CASCADE HEALTH CENTERS- DUNSMUIR on September 17, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SHASTA CASCADE HEALTH CENTERS- DUNSMUIR” is a dba name, the actual legal business name for this organization is MCCLOUD HEALTHCARE CLINIC, INC.. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was last updated on Nov 01, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SHASTA CASCADE HEALTH CENTERS- DUNSMUIR below.

NPI Profile for
MCCLOUD HEALTHCARE CLINIC, INC.

NPI Number
1376893420
Enumeration Date

(more than 13 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MCCLOUD HEALTHCARE CLINIC, INC.
Doing Business As (dba): SHASTA CASCADE HEALTH CENTERS- DUNSMUIR
Primary location
4309 STAGECOACH ROAD
DUNSMUIR, CA 96025
Phone: (530) 235-4138 Fax: (530) 378-2453
Mailing address
PO BOX 1143
MCCLOUD, CA 96057-1143
Phone: (530) 964-2389 Fax: (530) 964-3141
Organization Subpart
No
Authorized Official
CALEB OTT
CEO
Phone: (530) 964-2389
Updated
Certification Date
Nov 01, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for SHASTA CASCADE HEALTH CENTERS- DUNSMUIR

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidCA00G320960
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 CA 550001195
261QR1300X
- Clinic/Center / Rural Health		 CA G32096

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.