WILLOW CREEK - SIX RIVERS MEDICAL CENTER
NPI 1376570473
Clinic/Center - Rural Health in Willow Creek, CA

Q: What is Willow Creek - Six Rivers Medical Center's specialty?

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

Active since June 26, 2006CLIA 05D0613074 · Microscopy

850 STATE HWY 96, WILLOW CREEK, CA 95573(530) 629-3777(530) 629-2866 Get Directions Write a Review

NPPES record last updated: September 20, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Willow Creek - Six Rivers Medical Center NPPES

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

WILLOW CREEK - SIX RIVERS MEDICAL CENTER (NPI 1376570473) is a healthcare organization registered as a rural health in Willow Creek, California and active in the NPI registry since June 2006. The organization holds a CLIA Microscopy certificate valid through January 22, 2027 and lists Douglas Allen Shaw, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1376570473

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameWILLOW CREEK - SIX RIVERS MEDICAL CENTER

Location Address850 STATE HWY 96Willow Creek, CA 95573

Mailing AddressP.o. Box 4388Arcata, CA 95518-4388 · (707) 822-7220 · Fax (707) 826-8258

Phone(530) 629-3777

Fax(530) 629-2866

Organization SubpartNo

Authorized OfficialDouglas Allen ShawChief Executive Officer · (707) 822-7220

Enumeration DateJune 26, 2006

Last NPPES UpdateSeptember 20, 2019

✔ NPI 1376570473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

850 STATE HWY 96, Willow Creek, CA 95573

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Other Identifiers 4

Other55-3980CA · Blue Cross Provider #

OtherHAP10028FCA · Family Pact Provider #

MedicaidRHM10028FCA

OtherZZZ33943ZCA · Blue Shield Provider #

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0613074

Willow Creek/Six Rivers Medical Center · Willow Creek, CA

Active · expires Jan 22, 2027

CLIA Number05D0613074

Laboratory TypeRural Health Clinic

Certificate Effective DateJanuary 23, 2025

Certificate Expiration DateJanuary 22, 2027

Laboratory DirectorAlison Palacios

Laboratory Phone(530) 629-3338

Laboratory LocationWillow Creek/Six Rivers Medical Center850 State Highway 96, Willow Creek, CA 95573

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Willow Creek - Six Rivers Medical Center's NPI number?

The NPI number for Willow Creek - Six Rivers Medical Center is 1376570473. It was assigned to this organization in the NPPES registry on June 26, 2006.

Where is Willow Creek - Six Rivers Medical Center located?

Willow Creek - Six Rivers Medical Center is located at 850 State Hwy 96, Willow Creek, CA 95573. The listed phone number is (530) 629-3777.

What is Willow Creek - Six Rivers Medical Center's specialty?

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

Does Willow Creek - Six Rivers Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0613074) is associated with this NPI, valid through January 22, 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 Willow Creek - Six Rivers Medical Center was last updated on September 20, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.