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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: July 26, 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
Phone(530) 926-4528
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
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Other Names 1

Doing Business AsShasta Cascade Health Centers- Mt Shasta

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIA JONES LAC., DIPL.OM
Acupuncturist
824 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 964-2389
LESLIE J ANDREWS MD
Obstetrics & Gynecology
824 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-4528
DAVID GLENN HOLST MD
Family Medicine
824 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-4528
JUDITH KAY CRABTREE NP
Nurse Practitioner
824 PINE ST
MT SHASTA, CA 96067
Siskiyou County (530) 926-4528
ELLIOTT PIERCE WAYBURN-BEST LVN
Licensed Vocational Nurse
824 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-4528
JACK LEROY HALING MD
Pediatrics
824 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-4528

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.

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 with the weekly NPPES data releases published by CMS.