EASTERN PLUMAS HEALTH CARE DISTRICT (NPI# 1487650313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487650313 |
| Entity Type | Organization |
| Organization Name | EASTERN PLUMAS HEALTH CARE DISTRICT |
| Other Organization Name | EASTERN PLUMAS HEALTH CARE |
| Practice Address |
7598 Hwy 89 Graeagle CA 96103 |
| Mailing Address |
500 1st Ave Portola CA 96122-9406 |
| Practice Telephone | 5308326500 |
| Practice Fax Number | 5308321105 |
| Mailing Telephone | 5308326500 |
| Mailing Fax Number | 5308321105 |
| Enumeration Date | 2005-06-24 |
| Last Update Date | 2013-11-19 |
| Authorized Official Name | MS. 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 |
553985 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RHM53985F | 05 | |
| CA | BLUE SHIELD PRO FEES | ZZZ30855Z | 01 |
| Other Name | Type Code |
|---|---|
| EASTERN PLUMAS HEALTH CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114923919 | Eastern Plumas Health Care District | Clinic/Center | 480 1st Ave, Portola, CA 96122-9405 | 2005-06-27 |
| 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 |
7598 HWY 89 |
| City | GRAEAGLE |
| State | CA |
| Zip Code | 96103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811534886 | Elizabeth Basterrechea | Physical Therapist | 8989 Highway 89 Building 36, Space 1, Graeagle, CA 96103 | 2019-12-09 |
| 1265583843 | Michael Wayne Barton | Dentist | 113 Highway 89, Graeagle, CA 96103-0399 | 2007-01-12 |
| 1659475168 | Laura Skillern Morrison | Psychologist | 7597 Highway 89, Suite 4, Graeagle, CA 96103-0979 | 2006-09-13 |
| 1336635663 | Jade Elizabeth Cuccia | Home Health | 226 Bonta St, Blairsden, CA 96103-9000 | 2018-07-10 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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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.