MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT (NPI# 1669617783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669617783 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN COMMUNITIES HEALTHCARE DISTRICT |
| Other Organization Name | HAYFORK COMMUNITY HEALTH CLINIC |
| Practice Address |
6961 Highway 3 Hayfork CA 96041-0220 |
| Mailing Address |
Po Box 1229 Weaverville CA 96093-1229 |
| Practice Telephone | 5306285517 |
| Practice Fax Number | 5306285524 |
| Mailing Telephone | 5306235541 |
| Mailing Fax Number | 5306233920 |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | MR. AARON ROGERS (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5306232687 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
230000038 | CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Hayfork Community Health Clinic | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750462271 | Mountain Communities Healthcare District | Skilled Nursing Facility | 60 Easter Avenue, Weaverville, CA 96093-1229 | 2006-10-18 |
| 1851767016 | Mountain Communities Healthcare District | General Acute Care Hospital | 60 Easter Ave, Weaverville, CA 96093 | 2015-08-11 |
| 1407027568 | Mountain Communities Healthcare District | Medicare Defined Swing Bed Unit | 60 Easter Avenue, Weaverville, CA 96093 | 2008-03-17 |
| 1336287200 | Mountain Communities Healthcare District | Pharmacy | 60 Easter Avenue, Weaverville, CA 96093 | 2007-02-02 |
| 1154404010 | Mountain Communities Healthcare District | Skilled Nursing Facility | 60 Easter Avenue, Weaverville, CA 96093-1229 | 2006-10-23 |
| Street Address |
6961 HIGHWAY 3 |
| City | HAYFORK |
| State | CA |
| Zip Code | 96041-0220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942510771 | Caren Marie Greco | Nurse Practitioner | 6961 Highway 3, Hayfork, CA 96041 | 2010-10-14 |
| 1376774034 | Michael L. Gibson | Nurse Practitioner | 6961 Highway 3, Hayfork, CA 96041-6961 | 2009-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912322041 | Daniel Lee Humphrey | Counselor | 154 Tule Creek Road, Hayfork, CA 96041 | 2014-02-26 |
| 1467706986 | Allis Raelyn Fielding | Doula | 69 Carr Creek Rd, Hayfork, CA 96041 | 2012-11-06 |
| 1871795492 | Trinity County Behavioral Health Services - Hyfk | Community/Behavioral Health | 154-b Tule Creek Road, Hayfork, CA 96041 | 2007-06-05 |
| 1871522938 | Donald E. Krouse, M.d. Inc | Family Medicine | 1243 Main St, Hayfork, CA 96041 | 2006-07-01 |
| 1225526643 | Elizabeth Hope Riley | Case Manager/Care Coordinator | 154-b Tule Creek Road, Hayfork, CA 96041 | 2018-05-01 |
| 1386723963 | John W Kizziar | Dentist | #1 Brady Road, Hayfork, CA 96041-0036 | 2006-11-03 |
| 1235152984 | Gerald Reichelderfer | Pharmacist | 77 Main St, Hayfork, CA 96041-0370 | 2006-07-25 |
| 1477151785 | Holly Nicole Przybylowski | Speech-Language Pathologist | 480 Old Haywagon Rd, Hayfork, CA 96041-9604 | 2020-10-09 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
| 1477177210 | Anand Narayan Md Inc | Clinic/Center | 317 W El Monte Way, Dinuba, CA 93618-1557 | 2020-06-06 |
| 1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
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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.