PINE STREET CLINIC
NPI 1073990925
Clinic/Center - Rural Health in Portola, CA
About Pine Street Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PINE STREET CLINIC (NPI 1073990925) is a healthcare organization registered as a rural health in Portola, California and active in the NPI registry since April 2015. The organization holds a CLIA Certificate of Compliance certificate valid through April 9, 2027 and lists Thomas Hayes, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
CLIA Laboratory Certificates CMS CLIA
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 Compliance 05D0618613
Eastern Plumas Health Care District Laboratory · Portola, CAOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Eastern Plumas Health Care District's NPI number?
The NPI number for Eastern Plumas Health Care District is 1073990925. It was assigned to this organization in the NPPES registry on April 29, 2015. The provider is doing business as Pine Street Clinic.
Where is Eastern Plumas Health Care District located?
Eastern Plumas Health Care District is located at 145 N Pine St, Portola, CA 96122. The listed phone number is (530) 832-6500.
What is Eastern Plumas Health Care District's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Does Eastern Plumas Health Care District hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 05D0618613) is associated with this NPI, valid through April 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Eastern Plumas Health Care District was last updated on July 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.
# Pine Street Clinic · NPI 1073990925
Rural Health organization in Portola, California. Organization record, active in the CMS NPPES registry since April 29, 2015.
## Identity
- **NPI:** 1073990925 (Entity type: Organization)
- **Enumerated:** April 29, 2015
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Legal business name:** Eastern Plumas Health Care District
- **Organization subpart:** No
- **Authorized official:** Thomas Hayes, CEO
## Practice location
- **Address:** 145 N PINE ST, Portola, CA 96122-8415
- **Phone:** (530) 832-6500
## Record status
- **NPPES last updated:** July 30, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073990925) · Data from the CMS NPPES public registry.