MOUNT SHASTA HEALTH CENTER
NPI 1629570320
Clinic/Center - Federally Qualified Health Center (FQHC) in Mount Shasta, CA
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mount Shasta Health Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
45Medicare enrollment records show 45 clinicians reassign Medicare billing to Mount Shasta Health Center, which bills Medicare for the services they deliver. Of these, 5 practice at this address and 9 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 14
Nearest to this location (20)
See all 45Fall River Mills, CA 96028
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 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.
Where is Mountain Valleys Health Centers located?
Mountain Valleys Health Centers is located at 101 Old Mccloud Rd, Mount Shasta, CA 96067. The listed phone number is (530) 999-9040.
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.
Is Mountain Valleys Health Centers enrolled in Medicare?
Yes. Mountain Valleys Health Centers is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mountain Valleys Health Centers?
According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 14 Medicare specialties reassign their Medicare billing to Mountain Valleys Health Centers. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (17), Family Practice (11) and Chiropractic (3). Of these, 5 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mountain Valleys Health Centers was last updated on July 28, 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.
# Mount Shasta Health Center · NPI 1629570320
Federally Qualified Health Center (FQHC) organization in Mount Shasta, California. Organization record, active in the CMS NPPES registry since March 8, 2018.
## Identity
- **NPI:** 1629570320 (Entity type: Organization)
- **Enumerated:** March 8, 2018
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** Mountain Valleys Health Centers
- **Organization subpart:** No
- **Authorized official:** Brandon Watkins, CFO
## Practice location
- **Address:** 101 OLD MCCLOUD RD, Mount Shasta, CA 96067-2796
- **Phone:** (530) 999-9040
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 45 clinicians in 14 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (17), Family Practice (11), Chiropractic (3); 5 practice at this address and 9 within 10 miles; [full list](https://npiprofile.com/npi/1629570320/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2023
- **Other identifiers:** Medicaid 1629570320 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1629570320) · Data from the CMS NPPES public registry.