PIT RIVER HEALTH SERVICE, INC. (NPI# 1891762985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891762985 |
| Entity Type | Organization |
| Organization Name | PIT RIVER HEALTH SERVICE, INC. |
| Practice Address |
36977 Park Ave Burney CA 96013 |
| Mailing Address |
36977 Park Ave Burney CA 96013-4067 |
| Practice Telephone | 5303355090 |
| Practice Fax Number | 5303355241 |
| Mailing Telephone | 5303355090 |
| Mailing Fax Number | 5303355241 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2020-07-22 |
| Authorized Official Name | BRANDI GIBBS (BUSINESS OFFICE MANAGER) |
| Authorized Official Telephone | 5303355090 |
| Authorized Official Credential | CPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
230000179 | CA | Ambulatory Health Care Facilities |
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
230000179 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | THP00001F | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 Bia #76a, Alturas, CA 96101 | 5302333223 | 5302333196 |
| 701 N Main St Ste E, Alturas, CA 961013493 | 5302333328 | 5302331902 |
| Street Address |
36977 PARK AVE |
| City | BURNEY |
| State | CA |
| Zip Code | 96013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578553772 | Herschel F Kearns | Social Worker | 36977 Park Ave, Burney, CA 96013-4067 | 2005-10-27 |
| 1134581325 | Onita Sue Viramontes | Counselor | 36977 Park Ave, Burney, CA 96013-4067 | 2016-03-25 |
| 1376775452 | Ruth Barbara Roeschlau | Registered Nurse | 36977 Park Ave, Burney, CA 96013-4067 | 2009-08-21 |
| 1578709739 | Clarissa Renee Vargas | Dental Hygienist | 36977 Park Ave, Burney, CA 96013-4067 | 2008-12-18 |
| 1770732380 | Daneece Michelle Byrum | Registered Nurse | 36977 Park Ave, Burney, CA 96013-4067 | 2008-09-18 |
| 1730341306 | Sangeeta R Iyer | Internal Medicine | 36977 Park Ave, Burney, CA 96013-4067 | 2008-06-25 |
| 1528246253 | Phyllis Ann Hipps | Social Worker | 36977 Park Ave, Burney, CA 96013-4067 | 2008-02-05 |
| 1750426235 | Patrick Edward Melarkey | Dentist | 36977 Park Ave, Pit River Health Service, Burney, CA 96013 | 2007-02-21 |
| 1104976075 | Dennis Merle Thompson | Social Worker | 36977 Park Ave, Burney, CA 96013-4067 | 2007-01-11 |
| 1316012750 | Kathleen Alice Mitchell | Dental Hygienist | 36977 Park Ave, Pit River Heath Service, Burney, CA 96013 | 2006-11-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437631926 | Debra Alderson | Marriage & Family Therapist | 36977 Park Ave., Burney, CA 96013 | 2018-08-31 |
| 1780182543 | Sherif Sobhy Abdalla Salama | Pharmacist | 37435 Main St., Riteaid #6101, Burney, CA 96013 | 2018-01-26 |
| 1649634841 | Michael Akas | Nurse Practitioner | 37497 Enterprise Drive, Burney, CA 96013 | 2016-04-13 |
| 1316096142 | Shasta County Mental Health Burney Clinic | Community/Behavioral Health | 37497 Enterprise Street, A, Burney, CA 96013 | 2007-01-10 |
| 1376636092 | Karen Patricia Van Dyke | Dentist | 20615 Commerce Way, Burney, CA 96013 | 2006-10-02 |
| 1396753315 | Bobetta Jeanne Berthelsen | Ophthalmology | 37333 State Highway 299 E, Burney, CA 96013 | 2006-08-04 |
| 1013943620 | Lewis Edgar Furber Jr. | Nurse Practitioner | 36977 Park Avenue, Pitt River Health Services, Burney, CA 96013 | 2006-06-24 |
| 1730253170 | Burney Fire District | Ambulance | 37072 Main Street, Burney, CA 96013-0000 | 2006-11-18 |
| 1821496357 | David M Moeschler | Public Health or Welfare | 36911 State Highway 299 E, Burney, CA 96013-4050 | 2014-12-16 |
| 1487733689 | Fall River Joint Unified School District | Local Education Agency (LEA) | 20375 Tamarack Ave, Burney, CA 96013-4054 | 2006-11-06 |
| Find all providers in zip 96013 | ||||
| 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.