LAST FRONTIER HEALTHCARE DISTRICT (NPI# 1487669032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487669032 |
| Entity Type | Organization |
| Organization Name | LAST FRONTIER HEALTHCARE DISTRICT |
| Other Organization Name | MODOC MEDICAL CENTER |
| Practice Address |
1111 N Nagle St Alturas CA 96101-3840 |
| Mailing Address |
Po Box 190 Alturas CA 96101-0190 |
| Practice Telephone | 5307088800 |
| Practice Fax Number | 5302336609 |
| Mailing Telephone | 5307088800 |
| Mailing Fax Number | 5302336609 |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | MR. KEVIN KRAMER (CEO) |
| Authorized Official Telephone | 5307088801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 275N00000X | Medicare Defined Swing Bed Unit | 05Z330 | CA | Hospital Units |
| N | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
230000026 | CA | Hospitals |
| Y | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
051330 | CA | Hospitals |
| Other Name | Type Code |
|---|---|
| Modoc Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326146333 | Last Frontier Healthcare District | Skilled Nursing Facility | 225 W Mcdowell Ave, Alturas, CA 96101-3933 | 2006-09-21 |
| 1376164749 | Last Frontier Healthcare District | Clinic/Center | 670 County Road 83, Canby, CA 96015-9722 | 2020-04-27 |
| 1841739703 | Last Frontier Healthcare District | Pharmacy | 1111 N Nagle St, Alturas, CA 96101-3840 | 2017-02-13 |
| 1487764064 | Last Frontier Healthcare District | Clinic/Center | 1111 N Nagle St, Alturas, CA 96101-3840 | 2006-08-30 |
| Street Address |
1111 N NAGLE ST |
| City | ALTURAS |
| State | CA |
| Zip Code | 96101-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841739703 | Last Frontier Healthcare District | Pharmacy | 1111 N Nagle St, Alturas, CA 96101-3840 | 2017-02-13 |
| 1487764064 | Last Frontier Healthcare District | Clinic/Center | 1111 N Nagle St, Alturas, CA 96101-3840 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376100883 | Heather Marie Caldwell | Physician Assistant | 229 West Mcdowell Avenue, Alturas, CA 96101 | 2019-05-21 |
| 1174966949 | Strong Family Health Center | Health Maintenance Organization | 1203 Oak St, Alturas, CA 96101 | 2013-04-11 |
| 1306099197 | Lobelia Eden Jennings | Pharmacist | 432 N. Main Street, Riteaid Pharmacies, Alturas, CA 96101 | 2008-10-24 |
| 1851598890 | Paul Virgin | Physical Therapist | 220 Mcdowell St., Alturas, CA 96101 | 2007-07-02 |
| 1770646473 | Edward S Fass | Dentist | 224 Mcdowell Street, Alturas, CA 96101 | 2006-12-18 |
| 1871653097 | Dana Kent Hays | Emergency Medicine | 1248 Macdowell St, Alturas, CA 96101 | 2006-12-11 |
| 1730251109 | Amin Azizi Zahirfar | Dentist | 222 Mcdowell Ave, Alturas, CA 96101 | 2006-11-14 |
| 1700981305 | Melissa Sue Gallardo | Counselor | 441 No Main St, Alturas, CA 96101 | 2006-09-14 |
| 1770688384 | Richard James Crosby Jr. | Counselor | 441 North Main St, Alturas, CA 96101 | 2006-09-14 |
| 1376586529 | Edward Paul Richert | Family Medicine | 229 Mcdowell St, Alturas, CA 96101 | 2006-06-14 |
| Find all providers in zip 96101 | ||||
| Taxonomy Code | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407208713 | Moheb Youssef,m.d.,inc | General Acute Care Hospital | 5730 Glen Oaks Dr, La Verne, CA 91750-1713 | 2016-07-11 |
| 1659720373 | Pavel S. Volkov, M.d. Inc. | General Acute Care Hospital | 2393 E Strathmore Pl, Fresno, CA 93730-9717 | 2016-06-03 |
| 1841647575 | Ma Corazon Sabado Domine-flores | General Acute Care Hospital | 13884 Euclid St Apt B01, Garden Grove, CA 92843-3401 | 2016-05-23 |
| 1215305404 | Karen Samartan | General Acute Care Hospital | 6361 Varsity Dr, Huntington Beach, CA 92647-6544 | 2015-09-04 |
| 1427486802 | Lake Arrowhead Physical Therapy | General Acute Care Hospital | 29099 Hospital Rd Suite 106, Lake Arrowhead, CA 92352-0070 | 2013-10-23 |
| 1841626587 | Adventist Health Clearlake Hospital, Inc | General Acute Care Hospital | 9430 Lake St, Lower Lake, CA 95457-8600 | 2013-09-25 |
| 1982948030 | Kern Medical Center | General Acute Care Hospital | 1420 H Street, Bakersfield, CA 93305 | 2012-11-15 |
| 1881960698 | Lisa M Bach Bohler | General Acute Care Hospital | 2202 N Magnolia Rd, Palm Springs, CA 92262-3652 | 2012-03-26 |
| 1750680914 | Cedars-sinai Medical Center | General Acute Care Hospital | 1650 Manning Ave, Los Angeles, CA 90024-5810 | 2011-03-26 |
| 1962705772 | Needles Hospital, Inc | General Acute Care Hospital | 1916 Desoto St, Needles, CA 92363-3023 | 2010-12-16 |
| 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.