MOUNT SHASTA HEALTH CENTER
NPI 1629570320
Clinic/Center - Federally Qualified Health Center (FQHC) in Mount Shasta, CA

Q: What is Mountain Valleys Health Centers's NPI number?

The NPI number for Mountain Valleys Health Centers is 1629570320. It was assigned to this organization in the NPPES registry on March 8, 2018. The provider is doing business as Mount Shasta Health Center.

Q: What is Mountain Valleys Health Centers's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since March 08, 2018

101 OLD MCCLOUD RD, MOUNT SHASTA, CA 96067(530) 999-9040 Get Directions Write a Review

NPPES record last updated: July 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 28, 2023, Mar 29, 2018, Mar 8, 2018 (3 updates tracked since 2018).

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About Mount Shasta Health Center NPPES

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

MOUNT SHASTA HEALTH CENTER (NPI 1629570320) is a healthcare organization registered as a federally qualified health center (fqhc) in Mount Shasta, California and active in the NPI registry since March 2018. The organization lists Brandon Watkins, Cfo, as its authorized official.

NPPES Registry Identity

NPI1629570320

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameMOUNTAIN VALLEYS HEALTH CENTERS

Location Address101 OLD MCCLOUD RDMount Shasta, CA 96067-2796

Mailing AddressPo Box 277Bieber, CA 96009-0277 · (530) 999-9010 · Fax (530) 294-5392

Phone(530) 999-9040

Organization SubpartNo

Authorized OfficialBrandon WatkinsCfo · (530) 999-9010

Enumeration DateMarch 8, 2018

Last NPPES UpdateJuly 28, 20233 updates tracked since enumeration

NPPES CertifiedJuly 28, 2023

✔ NPI 1629570320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

101 OLD MCCLOUD RD, Mount Shasta, CA 96067

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Other Names 1

Doing Business AsMount Shasta Health Center

Other Identifiers 1

Medicaid1629570320CA

Other Providers at the Same Location NPPES 11

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

MRS. BARBRA LEWIS FNP

Nurse Practitioner