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SHASTA CASCADE HEALTH CENTERS
NPI 1164428488
Clinic/Center - Federally Qualified Health Center (FQHC) in Mccloud, CA

Active since June 22, 2005
116 W MINNESOTA AVE, MCCLOUD, CA 96057(530) 964-2389(530) 964-3141 Get Directions Write a Review

NPPES record last updated: March 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1164428488
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMCCLOUD HEALTHCARE CLINIC, INC.
Location Address116 W MINNESOTA AVEMccloud, CA 96057-1143
Mailing AddressPo Box 1143Mccloud, CA 96057-1143 · (530) 964-2389 · Fax (530) 964-3141
Phone(530) 964-2389
Fax(530) 964-3141
Organization SubpartNo
Authorized OfficialCaleb J OttAdministrator · (530) 926-6309
Enumeration DateJune 22, 2005
Last NPPES UpdateMarch 23, 2023
NPPES CertifiedMarch 23, 2023
✔ NPI 1164428488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in CA · 550001195
Also ListedClinic/Center · Rural HealthTaxonomy 261QR1300X · License 553934 (CA)
116 W MINNESOTA AVE, Mccloud, CA 96057
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Other Names 1

Doing Business AsShasta Cascade Health Centers

Other Identifiers 4

OtherZZZ24754ZCA · Medicare Part B
MedicaidRHM53934FCA
OtherZZZ24754ZCA · Bcbs
Other55-3934CA · Cahaba Gba

Other Providers at the Same Location NPPES 4

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

MS. HEATHER R SMITH RDHAP
Dental Hygienist
116 W MINNESOTA AVE
MCCLOUD, CA 96057
Siskiyou County (530) 964-2040
DR. ALAN DAVID COOPER D.C.
Chiropractor
116 W MINNESOTA AVE
MCCLOUD, CA 96057
Siskiyou County (530) 964-2389
CHRISTINE CROUCH RDH
Dental Hygienist
116 W MINNESOTA AVE
MCCLOUD, CA 96057
Siskiyou County (530) 964-2040
DENISE LEWIS NP
Nurse Practitioner (Adult Health)
116 W MINNESOTA AVE
MCCLOUD, CA 96057
Siskiyou County (530) 964-2389

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.

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.