LAST FRONTIER HEALTHCARE DISTRICT (NPI# 1487764064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487764064 |
| 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 | 5307088801 |
| Practice Fax Number | 5302336609 |
| Mailing Telephone | 5307088801 |
| Mailing Fax Number | 5302336609 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-10-15 |
| Authorized Official Name | KEVIN KRAMER (CEO) |
| Authorized Official Telephone | 5307088801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | ========= | CA | Ambulatory Health Care Facilities |
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD OF CALIFORNIA | ZZZ13295Z | 01 |
| CA | RHM13988F | 05 |
| 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 |
| 1487669032 | Last Frontier Healthcare District | Medicare Defined Swing Bed Unit | 1111 N Nagle St, Alturas, CA 96101-3840 | 2006-07-30 |
| 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 |
| Street Address |
1111 N NAGLE ST |
| City | ALTURAS |
| State | CA |
| Zip Code | 96101-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487669032 | Last Frontier Healthcare District | Medicare Defined Swing Bed Unit | 1111 N Nagle St, Alturas, CA 96101-3840 | 2006-07-30 |
| 1841739703 | Last Frontier Healthcare District | Pharmacy | 1111 N Nagle St, Alturas, CA 96101-3840 | 2017-02-13 |
| 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 | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1902417678 | I-ma Acupuncture Inc | Clinic/Center | 2485 High School Ave Ste 123, Concord, CA 94520-1812 | 2020-08-14 |
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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.