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ALPINE HEALTHCARE
NPI 1679514483
Clinic/Center - Rural Health in Mount Shasta, CA

Active since June 10, 2006
912 PINE ST, MOUNT SHASTA, CA 96067(530) 926-5105(530) 926-1359 Get Directions Write a Review

NPPES record last updated: August 4, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Alpine Healthcare NPPES

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

ALPINE HEALTHCARE (NPI 1679514483) is a healthcare organization registered as a rural health in Mount Shasta, California and active in the NPI registry since June 2006. The organization lists Chris Bayless, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1679514483
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMT SHASTA MEDI-CAL CLINIC, INC
Location Address912 PINE STMount Shasta, CA 96067-2143
Mailing Address912 Pine StMount Shasta, CA 96067-2143 · (530) 926-5105 · Fax (530) 926-1359
Phone(530) 926-5105
Fax(530) 926-1359
Organization SubpartNo
Authorized OfficialChris BaylessExecutive Director · (530) 926-5105
Enumeration DateJune 10, 2006
Last NPPES UpdateAugust 4, 2009
✔ NPI 1679514483 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 · 230000075
912 PINE ST, Mount Shasta, CA 96067
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Other Names 1

Doing Business AsAlpine Healthcare

Other Identifiers 3

Medicare OSCAR/certification553856CA
OtherEAP53856FCA · Eap
MedicaidRHM53856FCA

Other Providers at the Same Location NPPES 10

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

JOSHUA AARON BLACKWELL MD, MSPH
Family Medicine
912 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (205) 603-8010
DR. CALEB ANDREW NEWTON DO
Family Medicine
912 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-7131
CASSIDY JAMES DOWNEY MORAN PA
Physician Assistant
912 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-7131
DIGNITY HEALTH
Clinic/Center (Rural Health)
912 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-7196
DR. EVELYN RIDENHOUR CALLAS M.D.
Pediatrics
912 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-5105
DIGNITY HEALTH
Clinic/Center (Rural Health)
912 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-5105
KELSEY SLOAT
Obstetrics & Gynecology
912 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-7131
DAVID JEREMY LEVINE MD
Surgery
912 PINE ST
MOUNT SHASTA, CA 96067
Siskiyou County (530) 926-7131

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 Mt Shasta Medi-Cal Clinic, Inc's NPI number?

The NPI number for Mt Shasta Medi-Cal Clinic, Inc is 1679514483. It was assigned to this organization in the NPPES registry on June 10, 2006. The provider is doing business as Alpine Healthcare.

Where is Mt Shasta Medi-Cal Clinic, Inc located?

Mt Shasta Medi-Cal Clinic, Inc is located at 912 Pine St, Mount Shasta, CA 96067. The listed phone number is (530) 926-5105.

What is Mt Shasta Medi-Cal Clinic, Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Mt Shasta Medi-Cal Clinic, Inc was last updated on August 4, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.