MCCLOUD HEALTHCARE CLINIC, INC. – NPI #1386503779
Clinic/Center

MCCLOUD HEALTHCARE CLINIC, INC. is an AHC clinic located in MOUNT SHASTA, CA. NPPES has assigned the NPI number 1386503779 to MCCLOUD HEALTHCARE CLINIC, INC. on January 20, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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)

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 MCCLOUD HEALTHCARE CLINIC, INC. below.

NPI Profile for
MCCLOUD HEALTHCARE CLINIC, INC.

NPI Number
1386503779
Enumeration Date

(about 5 months 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.
Primary location
822 PINE ST
MOUNT SHASTA, CA 96067-2137
Phone: (530) 926-6309 Fax: (530) 926-5070
Mailing address
PO BOX 1143
MCCLOUD, CA 96057-1143
Phone: (530) 926-6309 Fax: (530) 926-5070
Organization Subpart
Yes - MCCLOUD HEALTHCARE CLINIC, INC. is subpart of another organization.
Authorized Official
CALEB OTT
CEO
Phone: (530) 926-6309
Updated
Certification Date
Jan 20, 2026

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.

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)

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.