institution
Mccloud Healthcare Clinic, Inc.
Rural Health Clinic/Center in Mccloud, California
NPI 1164428488

Mccloud Healthcare Clinic, Inc. is a Rural Health Clinic/Center based in Mccloud, CA and is specialized in Rural Health. Mccloud Healthcare Clinic, Inc. practices in Mccloud, CA. The NPI Number for Mccloud Healthcare Clinic, Inc. is 1164428488 and holds a License No. 550001195 (California).

The current practice location address for Mccloud Healthcare Clinic, Inc. is 116 W Minnesota Ave, Mccloud, CA and can be reached out via phone at 530-964-2389 and via fax at 530-964-3141. You can also correspond with Mccloud Healthcare Clinic, Inc. through the mailing address at PO BOX 1143, MCCLOUD, CA - 96057-1143 (mailing address contact number: 530-964-2389).

Location: 116 W Minnesota Ave, Mccloud, CA, 96057-1143
institution
Provider Profile Details
NPI Number
1164428488
Provider Name
Mccloud Healthcare Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
116 W Minnesota Ave, Mccloud, CA, 96057-1143
Phone Number
530-964-2389
Fax Number
530-964-3141
Provider Enumeration Date
06/22/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ24754Z 01 CA MEDICARE PART B
RHM53934F 05 CA
ZZZ24754Z 01 CA BCBS
55-3934 01 CA CAHABA GBA
institution
Provider Business Practice Location Address Details
Address
116 W Minnesota Ave
City
State
Zip
96057-1143
Phone Number
530-964-2389
Fax Number
530-964-3141
person
Provider Business Mailing Address Details
Address
Po Box 1143
City
State
Zip
96057-1143
Phone Number
530-964-2389
Fax Number
530-964-3141
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
553934 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
550001195 (California)
Definition
Definition to come...
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