BAECHTEL CREEK MEDICAL CLINIC
NPI 1568525400
Clinic/Center - Rural Health in Willits, CA

Active since December 19, 2006CLIA 05D0612624 · Microscopy
1245 S MAIN ST, WILLITS, CA 95490(707) 459-6861(707) 459-3057 Get Directions Write a Review

NPPES record last updated: December 15, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Baechtel Creek Medical Clinic NPPES

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

BAECHTEL CREEK MEDICAL CLINIC (NPI 1568525400) is a healthcare organization registered as a rural health in Willits, California and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through September 29, 2027 and lists Donald Mills Matheson, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1568525400
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameJOHN R GLYER D MILLS MATHESON & MARGARET ARNER MDS PTR
Location Address1245 S MAIN STWillits, CA 95490-4305
Mailing Address1245 S Main StWillits, CA 95490-4305 · (707) 459-6861 · Fax (707) 459-3057
Fax(707) 459-3057
Organization SubpartNo
Authorized OfficialDonald Mills MathesonManaging Partner · (707) 459-6861
Enumeration DateDecember 19, 2006
Last NPPES UpdateDecember 15, 2010
NPI 1568525400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in CA · 053968
1245 S MAIN ST, Willits, CA 95490

Other Names 1

Doing Business AsBaechtel Creek Medical Clinic

Other Identifiers 2

Medicare ID-Type UnspecifiedZZZ78182ZCA · Medicare Provider #
Medicare OSCAR/certification053968CA

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) 05D0612624

Baechtel Creek Medical Clinic · Willits, CA
Active · expires Sep 29, 2027
CLIA Number05D0612624
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2025
Certificate Expiration DateSeptember 29, 2027
Laboratory DirectorDonald M. Matheson
Laboratory Phone(707) 459-6861
Laboratory LocationBaechtel Creek Medical Clinic1245 South Main Street, Willits, CA 95490
CLIA data matches this NPI record on: Address Name Phone
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.

Other Providers at the Same Location NPPES 8

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

Family Medicine
1245 S MAIN ST
WILLITS, CA 95490
Family Medicine
1245 S MAIN ST
WILLITS, CA 95490
Nurse Practitioner (Primary Care)
1245 S MAIN ST
WILLITS, CA 95490
Family Medicine
1245 S MAIN ST
WILLITS, CA 95490
Nurse Practitioner (Family)
1245 S MAIN ST
WILLITS, CA 95490
Family Medicine
1245 S MAIN ST
WILLITS, CA 95490
Internal Medicine
1245 S MAIN ST
WILLITS, CA 95490
Family Medicine
1245 S MAIN ST
WILLITS, CA 95490

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 John R Glyer D Mills Matheson & Margaret Arner Mds Ptr's NPI number?

The NPI number for John R Glyer D Mills Matheson & Margaret Arner Mds Ptr is 1568525400. It was assigned to this organization in the NPPES registry on December 19, 2006. The provider is doing business as Baechtel Creek Medical Clinic.

Where is John R Glyer D Mills Matheson & Margaret Arner Mds Ptr located?

John R Glyer D Mills Matheson & Margaret Arner Mds Ptr is located at 1245 S Main St, Willits, CA 95490. The listed phone number is (707) 459-6861.

What is John R Glyer D Mills Matheson & Margaret Arner Mds Ptr's specialty?

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

Does John R Glyer D Mills Matheson & Margaret Arner Mds Ptr hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0612624) is associated with this NPI, valid through September 29, 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 John R Glyer D Mills Matheson & Margaret Arner Mds Ptr was last updated on December 15, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.