EASTERN PLUMAS HEALTH CARE DISTRICT (NPI# 1669478590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669478590 |
| Entity Type | Organization |
| Organization Name | EASTERN PLUMAS HEALTH CARE DISTRICT |
| Other Organization Name | EASTERN PLUMAS HEALTH CARE |
| Practice Address |
700 Third Ave Loyalton CA 96118 |
| 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 |
058597 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZC4600Z | 01 |
| CA | RHM08597F | 05 |
| 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 |
| 1487650313 | Eastern Plumas Health Care District | Clinic/Center | 7598 Hwy 89, Graeagle, CA 96103 | 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 |
700 THIRD AVE |
| City | LOYALTON |
| State | CA |
| Zip Code | 96118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619106408 | Christina Kaelin Potter | Nurse Practitioner | 700 Third Street, Loyalton, CA 96118 | 2009-07-14 |
| 1528550530 | Earl Daniel Henson Jr. | Counselor | 704 Mill Street, Loyalton, CA 96118 | 2018-06-05 |
| 1578053245 | Antonina King | Case Manager/Care Coordinator | 704 Mill Street, Loyalton, CA 96118 | 2018-05-17 |
| 1104136910 | Aubree Christene Fae Taylor | Counselor | 704 Mill Street, Loyalton, CA 96118 | 2010-10-14 |
| 1417050329 | Loyalton Holding LLC | Pharmacy | 701 Main Street, Loyalton, CA 96118 | 2006-09-06 |
| 1497959753 | Richard Holm | Preventive Medicine | 202 Front St., Loyalton, CA 96118-0002 | 2007-06-12 |
| 1740366087 | Robin Kay Jaquez | Nurse Practitioner | 202 Front St., Loyalton, CA 96118-0007 | 2006-10-30 |
| 1285733725 | Sierra County Health Department | Public Health or Welfare | 202 Front Street, Loyalton, CA 96118-0007 | 2006-09-21 |
| 1346343258 | Elva Jane Peeler | Pharmacist | 701 Main St., Loyalton, CA 96118-0036 | 2006-09-06 |
| 1114158995 | Patricia Valene Hubler | Marriage & Family Therapist | 704 Mill Street, Loyalton, CA 96118-0265 | 2009-07-28 |
| Find all providers in zip 96118 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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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.