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MCCLOUD DBA UROLOGY CLINIC
NPI 1164680823
Specialist in Mount Shasta, CA

Active since May 29, 2008
830 PINE ST, MOUNT SHASTA, CA 96067(530) 926-3891 Get Directions Write a Review

NPPES record last updated: May 29, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mccloud Dba Urology Clinic NPPES

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

MCCLOUD DBA UROLOGY CLINIC (NPI 1164680823) is a healthcare organization registered as a specialist in Mount Shasta, California and active in the NPI registry since May 2008. The organization lists Robin M Veltkamp, Enrollment, as its authorized official.

NPPES Registry Identity

NPI1164680823
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMCCLOUD DBA UROLOGY CLINIC
Location Address830 PINE STMount Shasta, CA 96067-2137
Mailing Address830 Pine StMount Shasta, CA 96067-2137 · (530) 926-3891
Phone(530) 926-3891
Organization SubpartYesParent: Mccloud Health Center
Authorized OfficialRobin M VeltkampEnrollment · (231) 924-0244
Enumeration DateMay 29, 2008
✔ NPI 1164680823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · A21996
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
830 PINE ST, Mount Shasta, CA 96067
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

SHANHONG LU
Specialist
830 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-1000
DR. SHANHONG LU M.D.
Internal Medicine
830 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-1000
LINDSAY JEAN FOX MD MEDICAL CORPORATION
Surgery
830 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 918-9331
DR. LINDSAY JEAN FOX M.D.
Surgery
830 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 918-9331

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 Dba Urology Clinic's NPI number?

The NPI number for Mccloud Dba Urology Clinic is 1164680823. It was assigned to this organization in the NPPES registry on May 29, 2008.

Where is Mccloud Dba Urology Clinic located?

Mccloud Dba Urology Clinic is located at 830 Pine St, Mount Shasta, CA 96067. The listed phone number is (530) 926-3891.

What is Mccloud Dba Urology Clinic's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Mccloud Dba Urology Clinic was last updated on May 29, 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.