CHARLIE MITCHELL RURAL HEALTH CLINIC
NPI 1063573962
Clinic/Center - Rural Health in Madera, CA
About Charlie Mitchell Rural Health Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLIE MITCHELL RURAL HEALTH CLINIC (NPI 1063573962) is a healthcare organization registered as a rural health in Madera, California and active in the NPI registry since December 2006. The organization holds 2 active CLIA laboratory certificates and lists Tina Mycroft, Senior Vp & Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 05D0643549
Valley Children's Hospital · Madera, CACertificate of Waiver 05D1009735
Valley Children's Hospital - Medical Office Building · Madera, CAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MADERA, CA 93636
MADERA, CA 93636
MADERA, CA 93636
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 Valley Children's Hospital's NPI number?
The NPI number for Valley Children's Hospital is 1063573962. It was assigned to this organization in the NPPES registry on December 13, 2006. The provider is doing business as Charlie Mitchell Rural Health Clinic.
Where is Valley Children's Hospital located?
Valley Children's Hospital is located at 9300 Valley Childrens Pl, Madera, CA 93636. The listed phone number is (559) 353-3000.
What is Valley Children's Hospital's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does Valley Children's Hospital hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Valley Children's Hospital was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Charlie Mitchell Rural Health Clinic · NPI 1063573962
Rural Health organization in Madera, California. Organization record, active in the CMS NPPES registry since December 13, 2006.
## Identity
- **NPI:** 1063573962 (Entity type: Organization)
- **Enumerated:** December 13, 2006
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Valley Children's Hospital
- **Organization subpart:** No
- **Authorized official:** Tina Mycroft, SENIOR VP & CFO
## Practice location
- **Address:** 9300 VALLEY CHILDRENS PL, Madera, CA 93636-8762
- **Phone:** (559) 353-3000
## Record status
- **NPPES last updated:** January 14, 2025
- **Other identifiers:** Medicaid RHM1860F (CA); Other ZZZ64542Z (CA)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063573962) · Data from the CMS NPPES public registry.