SHASTA CASCADE HEALTH CENTERS
NPI 1164428488
Clinic/Center - Federally Qualified Health Center (FQHC) in Mccloud, CA
About Shasta Cascade Health Centers NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHASTA CASCADE HEALTH CENTERS (NPI 1164428488) is a healthcare organization registered as a federally qualified health center (fqhc) in Mccloud, California and active in the NPI registry since June 2005. The organization lists Caleb J Ott, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Other Identifiers 4
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 is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
27Medicare enrollment records show 27 clinicians reassign Medicare billing to Shasta Cascade Health Centers, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 12
Nearest to this location (20)
See all 27Source: 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 1164428488. It was assigned to this organization in the NPPES registry on June 22, 2005. The provider is doing business as Shasta Cascade Health Centers.
Where is Mccloud Healthcare Clinic, Inc. located?
Mccloud Healthcare Clinic, Inc. is located at 116 W Minnesota Ave, Mccloud, CA 96057. The listed phone number is (530) 964-2389.
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 4 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 March 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Shasta Cascade Health Centers · NPI 1164428488
Federally Qualified Health Center (FQHC) organization in Mccloud, California. Organization record, active in the CMS NPPES registry since June 22, 2005.
## Identity
- **NPI:** 1164428488 (Entity type: Organization)
- **Enumerated:** June 22, 2005
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Mccloud Healthcare Clinic, Inc.
- **Organization subpart:** No
- **Authorized official:** Caleb Ott, ADMINISTRATOR
## Practice location
- **Address:** 116 W MINNESOTA AVE, Mccloud, CA 96057-1143
- **Phone:** (530) 964-2389 · **Fax:** (530) 964-3141
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 27 clinicians in 12 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Family Practice (5), Clinical Social Worker (2); 3 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1164428488/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2023
- **Other identifiers:** Other ZZZ24754Z (CA); Medicaid RHM53934F (CA); Other ZZZ24754Z (CA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1164428488) · Data from the CMS NPPES public registry.