1. Home
  2. Directory
  3. California
  4. Hayfork
  5. Clinic Center
  6. NPI Profile

HAYFORK COMMUNITY HEALTH CLINIC
NPI 1669617783
Clinic/Center - Rural Health in Hayfork, CA

Active since December 03, 2008CLIA 05D0941735 · Waiver
6961 HIGHWAY 3, HAYFORK, CA 96041(530) 628-5517(530) 628-5524 Get Directions Write a Review

NPPES record last updated: December 11, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 11, 2019, Nov 12, 2018, Feb 11, 2016 (3 updates tracked since 2016).

About Hayfork Community Health Clinic NPPES

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

HAYFORK COMMUNITY HEALTH CLINIC (NPI 1669617783) is a healthcare organization registered as a rural health in Hayfork, California and active in the NPI registry since December 2008. The organization holds a CLIA Waiver certificate valid through March 1, 2028 and lists Aaron Rogers, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1669617783
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMOUNTAIN COMMUNITIES HEALTHCARE DISTRICT
Location Address6961 HIGHWAY 3Hayfork, CA 96041-0220
Mailing AddressPo Box 1229Weaverville, CA 96093-1229 · (530) 623-5541 · Fax (530) 623-3920
Phone(530) 628-5517
Fax(530) 628-5524
Organization SubpartNo
Authorized OfficialAaron RogersChief Executive Officer · (530) 623-2687
Enumeration DateDecember 3, 2008
Last NPPES UpdateDecember 11, 20193 updates tracked since enumeration
✔ NPI 1669617783 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 · 230000038
6961 HIGHWAY 3, Hayfork, CA 96041
Open in Google Maps ↗

Other Names 1

Doing Business AsHayfork Community Health Clinic

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 of Waiver 05D0941735

Hayfork Community Health Clinic · Hayfork, CA
Active · expires Mar 1, 2028
CLIA Number05D0941735
Laboratory TypePhysician Office
Certificate Effective DateMarch 2, 2026
Certificate Expiration DateMarch 1, 2028
Laboratory DirectorDonald E. Krouse
Laboratory Phone(530) 623-4186
Laboratory LocationHayfork Community Health Clinic6961 Highway 3, Hayfork, CA 96041
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

MR. MICHAEL L. GIBSON F.N.P.
Nurse Practitioner
6961 HIGHWAY 3
HAYFORK, CA 96041
Trinity County (530) 628-5517

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 Communities Healthcare District's NPI number?

The NPI number for Mountain Communities Healthcare District is 1669617783. It was assigned to this organization in the NPPES registry on December 3, 2008. The provider is doing business as Hayfork Community Health Clinic.

Where is Mountain Communities Healthcare District located?

Mountain Communities Healthcare District is located at 6961 Highway 3, Hayfork, CA 96041. The listed phone number is (530) 628-5517.

What is Mountain Communities Healthcare District's specialty?

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

Does Mountain Communities Healthcare District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0941735) is associated with this NPI, valid through March 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mountain Communities Healthcare District was last updated on December 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.