EASTERN PLUMAS HEALTH CARE DISTRICT (NPI# 1114923919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114923919 |
| Entity Type | Organization |
| Organization Name | EASTERN PLUMAS HEALTH CARE DISTRICT |
| Other Organization Name | EASTERN PLUMAS HEALTH CARE PORTOLA |
| Practice Address |
480 1st Ave Portola CA 96122-9405 |
| Mailing Address |
500 1st Ave Portola CA 96122-9406 |
| Practice Telephone | 5308326600 |
| Mailing Telephone | 5308326600 |
| Enumeration Date | 2005-06-27 |
| Last Update Date | 2013-10-22 |
| Authorized Official Name | JERILEE NELSON (CFO) |
| Authorized Official Telephone | 5308326578 |
| Authorized Official Credential | CPA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR1300X |
Clinic/Center Specialization: Rural Health |
230000014 | CA | Ambulatory Health Care Facilities |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
058522 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHILED CLINIC PRO FE | ZZZ30855Z | 01 |
| CA | RHM18522F | 05 |
| Other Name | Type Code |
|---|---|
| EASTERN PLUMAS HEALTH CARE PORTOLA | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487650313 | Eastern Plumas Health Care District | Clinic/Center | 7598 Hwy 89, Graeagle, CA 96103 | 2005-06-24 |
| 1669478590 | Eastern Plumas Health Care District | Clinic/Center | 700 Third Ave, Loyalton, CA 96118 | 2005-06-24 |
| 1982600920 | Eastern Plumas Health Care District | General Acute Care Hospital | 500 1st Ave, Portola, CA 96122-9406 | 2005-06-23 |
| 1073990925 | Eastern Plumas Health Care District | Clinic/Center | 145 N Pine St, Portola, CA 96122-8415 | 2015-04-29 |
| 1316143043 | Eastern Plumas Health Care District | Clinic/Center | 176 Hot Springs Rd, Greenville, CA 95947 | 2007-06-21 |
| 1245236850 | Eastern Plumas Health Care District | Clinic/Center | 480 1st Ave, Portola, CA 96122-9405 | 2005-06-28 |
| 1164428967 | Eastern Plumas Health Care District | Medicare Defined Swing Bed Unit | 500 1st Ave, Portola, CA 96122-9406 | 2005-06-27 |
| 1326044140 | Eastern Plumas Health Care District | General Acute Care Hospital | 500 1st Ave, Portola, CA 96122-9406 | 2005-06-27 |
| 1609872415 | Eastern Plumas Health Care District | Skilled Nursing Facility | 500 1st Ave, Portola, CA 96122-9406 | 2005-06-27 |
| Street Address |
480 1ST AVE |
| City | PORTOLA |
| State | CA |
| Zip Code | 96122-9405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083884266 | John M. Evans | Registered Nurse | 480 1st Ave, Portola, CA 96122-9405 | 2008-03-04 |
| 1730201369 | Sharon A. Schmidt | Physician Assistant | 480 1st Ave, Portola, CA 96122-9405 | 2007-04-04 |
| 1912072562 | Sharon Malotte | Family Medicine | 480 1st Ave, Portola, CA 96122-9405 | 2006-11-21 |
| 1255339099 | Eric Bugna | Orthopaedic Surgery | 480 1st Ave, Portola, CA 96122-9405 | 2005-07-13 |
| 1184622896 | Wallace Remsen | Dentist | 480 1st Ave, Portola, CA 96122-9405 | 2005-07-07 |
| 1477550390 | Donald R. Ball | Orthopaedic Surgery | 480 1st Ave, Portola, CA 96122-9405 | 2005-07-07 |
| 1245236850 | Eastern Plumas Health Care District | Clinic/Center | 480 1st Ave, Portola, CA 96122-9405 | 2005-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891282810 | County of Plumas | Clinic/Center | 280 W. Sierra Street, Portola, CA 96122 | 2018-04-16 |
| 1033262548 | Sands Travelers Pt, Inc. | Specialist | 72795 S Delleker, Portola, CA 96122 | 2007-01-19 |
| 1326535352 | County of Plumas | Clinic/Center | 372 Main Street, Chester, CA 96122 | 2018-04-16 |
| 1467617332 | Richard D Hungerford | Chiropractor | 76466 Meadow Way, Portola, CA 96122-5100 | 2008-07-21 |
| 1114079035 | Richard Gepford | Specialist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-01-18 |
| 1891997037 | Jamie P Willmore | Physical Therapist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-06-01 |
| 1750416186 | Jeanne Kessler | Specialist | 73795 S Delleker Rd, Portola, CA 96122-6402 | 2007-02-23 |
| 1376785121 | Michael Scott Trenner | Respiratory Therapist, Registered | 545 Fourth St, Portola, CA 96122-7601 | 2009-03-25 |
| 1962688572 | Jeanne M. Harper | Occupational Therapist | 7332 Lake Davis Rd, Portola, CA 96122-8012 | 2008-01-14 |
| 1750481594 | Mario G. Garibotti | Dentist | 145 N Pine St, Portola, CA 96122-8415 | 2006-09-22 |
| Find all providers in zip 96122 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073990925 | Eastern Plumas Health Care District | Clinic/Center | 145 N Pine St, Portola, CA 96122-8415 | 2015-04-29 |
| 1245236850 | Eastern Plumas Health Care District | Clinic/Center | 480 1st Ave, Portola, CA 96122-9405 | 2005-06-28 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.