SHASTA CASCADE HEALTH CENTERS- MT SHASTA
NPI 1033675582
Clinic/Center - Federally Qualified Health Center (FQHC) in Mount Shasta, CA

Active since February 20, 2019
824 PINE ST, MOUNT SHASTA, CA 96067(530) 926-4528 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 23, 2023, Jul 13, 2022, Feb 20, 2019 (3 updates tracked since 2019).

About Shasta Cascade Health Centers- Mt Shasta NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHASTA CASCADE HEALTH CENTERS- MT SHASTA (NPI 1033675582) is a healthcare organization registered as a federally qualified health center (fqhc) in Mount Shasta, California and active in the NPI registry since February 2019. The organization lists Caleb J Ott, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033675582
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMCCLOUD HEALTHCARE CLINIC, INC.
Location Address824 PINE STMount Shasta, CA 96067-2137
Mailing AddressPo Box 1143Mccloud, CA 96057-1143 · (530) 964-2389
Organization SubpartYes
Authorized OfficialCaleb J OttCeo · (530) 964-2389
Enumeration DateFebruary 20, 2019
Last NPPES UpdateNovember 1, 20243 updates tracked since enumeration
NPPES CertifiedNovember 1, 2024
✔ NPI 1033675582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
824 PINE ST, Mount Shasta, CA 96067

Other Names 1

Doing Business AsShasta Cascade Health Centers- Mt Shasta

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shasta Cascade Health Centers- Mt Shasta is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

27

Medicare enrollment records show 27 clinicians reassign Medicare billing to Shasta Cascade Health Centers- Mt Shasta, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 7 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 12

Nurse Practitioner9
Family Practice5
Clinical Social Worker2
Optometry2
Podiatry2
Chiropractic1
Emergency Medicine1
General Practice1
4 other specialties4

Nearest to this location (20)

See all 27
Obstetrics/Gynecology
NPI 1104810712
824 PINE ST
Mount Shasta, CA 96067
(530) 926-4528
✔ PECOSSame address
Family Practice
NPI 1164416764
824 PINE ST
Mount Shasta, CA 96067
(530) 926-4528
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1417917766
822 PINE ST
Mount Shasta, CA 96067
(530) 365-4412
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1922092527
912 PINE ST
Mount Shasta, CA 96067
(530) 926-7131
✔ PECOS✔ Accepts Medicare0.1 mi
Emergency Medicine
NPI 1477564078
914 PINE STREET
Mount Shasta, CA 96067
(530) 926-6111
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1740625516
101 OLD MCCLOUD RD
Mount Shasta, CA 96067
(530) 926-5100
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1376539981
50 ALAMO AVE
Weed, CA 96094
(530) 938-3491
✔ PECOS8.3 mi
Chiropractic
NPI 1396885661
116 W MINNESOTA AVE
Mccloud, CA 96057
(530) 964-2389
✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1083180533
116 W MINNESOTA AVENUE
Mccloud, CA 96057
(530) 964-2389
✔ PECOS✔ Accepts Medicare11 mi
Clinical Social Worker
NPI 1851675326
116 W. MINNESOTA AVENUE
Mccloud, CA 96057
(530) 964-2389
✔ PECOS11 mi
Nurse Practitioner
NPI 1588207351
444 BRUCE ST
Yreka, CA 96097
(530) 842-4121
✔ PECOS✔ Accepts Medicare32 mi
Clinical Social Worker
NPI 1609150283
1095 HILLTOP DR STE 528
Redding, CA 96003
(530) 328-1544
✔ PECOS50 mi
Oral Surgery
NPI 1790321891
1627 HILLTOP DR STE A
Redding, CA 96002
(530) 800-4755
✔ PECOS51 mi
Internal Medicine
NPI 1174515969
20633 GAS POINT RD
Cottonwood, CA 96022
(530) 347-4867
✔ PECOS64 mi
Nurse Practitioner
NPI 1447235585
555 BLACK OAK DR
Medford, OR 97504
(541) 789-2273
✔ PECOS74 mi
Podiatry
NPI 1417955113
701 NEVADA ST
Susanville, CA 96130
(530) 257-4137
✔ PECOS✔ Accepts Medicare107 mi
Nurse Practitioner
NPI 1942574488
500 5TH ST
Brookings, OR 97415
(541) 412-2000
✔ PECOS114 mi
Optometry
NPI 1568725562
4641 MISSOURI FLAT RD
Placerville, CA 95667
(530) 621-7700
✔ PECOS✔ Accepts Medicare198 mi
General Practice
NPI 1447276878
2204 GRANT RD SUITE 202
Mountain View, CA 94040
(650) 528-5110
✔ PECOS✔ Accepts Medicare272 mi
Pediatric Medicine
NPI 1982765582
1140 MAIN ST LIVINGSTON MEDICAL GROUP
Livingston, CA 95334
(209) 394-7913
✔ PECOS✔ Accepts Medicare285 mi
See all 27 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mccloud Healthcare Clinic, Inc.'s NPI number?

The NPI number for Mccloud Healthcare Clinic, Inc. is 1033675582. It was assigned to this organization in the NPPES registry on February 20, 2019. The provider is doing business as Shasta Cascade Health Centers- Mt Shasta.

Where is Mccloud Healthcare Clinic, Inc. located?

Mccloud Healthcare Clinic, Inc. is located at 824 Pine St, Mount Shasta, CA 96067. The listed phone number is (530) 926-4528.

What is Mccloud Healthcare Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Is Mccloud Healthcare Clinic, Inc. enrolled in Medicare?

Yes. Mccloud Healthcare Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mccloud Healthcare Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 27 clinicians in 12 Medicare specialties reassign their Medicare billing to Mccloud Healthcare Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Family Practice (5) and Clinical Social Worker (2). Of these, 3 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mccloud Healthcare Clinic, Inc. was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.