WARNER MOUNTAIN INDIAN HEALTH PROJECT
NPI 1093931107
Clinic/Center - Rural Health in Fort Bidwell, CA

Active since April 17, 2007
132 MEE THEE UH ROAD, FORT BIDWELL, CA 96112(530) 279-6194(530) 279-6288 Get Directions Write a Review

NPPES record last updated: July 2, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Warner Mountain Indian Health Project NPPES

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

WARNER MOUNTAIN INDIAN HEALTH PROJECT (NPI 1093931107) is a healthcare organization registered as a rural health in Fort Bidwell, California and active in the NPI registry since April 2007. The organization lists Candice Dawn Russell, Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1093931107
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameFORT BIDWELL INDIAN COMMUNITY
Location Address132 MEE THEE UH ROADFort Bidwell, CA 96112
Mailing AddressPo Box 247Fort Bidwell, CA 96112-0247 · (530) 279-6194 · Fax (530) 279-6288
Fax(530) 279-6288
Organization SubpartNo
Authorized OfficialCandice Dawn RussellClinic Manager · (530) 279-6194
Enumeration DateApril 17, 2007
Last NPPES UpdateJuly 2, 2008
✔ NPI 1093931107 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
132 MEE THEE UH ROAD, Fort Bidwell, CA 96112

Other Names 1

Other NameWarner Mountain Indian Health Project

Other Identifiers 3

MedicaidTHP70973FCA
Medicare ID-Type UnspecifiedZZZ270012ZCA · Medicare
OtherO5D0692143CA · Clia

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Warner Mountain Indian Health Project is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Warner Mountain Indian Health Project, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Internal Medicine
NPI 1407950710
132 MEE THEE-UH RD
Ft. Bidwell, CA 96112
(530) 279-6115
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1801989280
1501 NE MEDICAL CENTER DR
Bend, OR 97701
(541) 382-4900
✔ PECOS✔ Accepts Medicare162 mi
Psychiatry
NPI 1235203597
2145 5TH AVENUE
Oroville, CA 95965
(530) 534-3793
✔ PECOS✔ Accepts Medicare179 mi
Family Practice
NPI 1801162565
2350 BUHNE ST STE A
Eureka, CA 95501
(707) 443-4593
✔ PECOS✔ Accepts Medicare221 mi
Internal Medicine
NPI 1912934779
1752 S VICTORIA AVE SUITE B
Ventura, CA 93003
(805) 644-4930
✔ PECOS527 mi
Clinical Social Worker
NPI 1477600195
135 W MISSION AVE STE 111C
Escondido, CA 92025
(760) 518-0001
✔ PECOS✔ Accepts Medicare625 mi

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 Fort Bidwell Indian Community's NPI number?

The NPI number for Fort Bidwell Indian Community is 1093931107. It was assigned to this organization in the NPPES registry on April 17, 2007. The provider is also known as Warner Mountain Indian Health Project.

Where is Fort Bidwell Indian Community located?

Fort Bidwell Indian Community is located at 132 Mee Thee Uh Road, Fort Bidwell, CA 96112. The listed phone number is (530) 279-6194.

What is Fort Bidwell Indian Community's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Is Fort Bidwell Indian Community enrolled in Medicare?

Yes. Fort Bidwell Indian Community is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fort Bidwell Indian Community?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Fort Bidwell Indian Community, in Clinical Social Worker, Family Practice, Internal Medicine and Psychiatry. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fort Bidwell Indian Community was last updated on July 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.