ARBUCKLE HEALTH CLINIC
NPI 1770084808
Clinic/Center - Rural Health in Arbuckle, CA

Active since February 23, 2018CLIA 05D2116048 · Waiver
900 KING STREET, ARBUCKLE, CA 95912(530) 619-0800(530) 619-0897 Get Directions Write a Review

NPPES record last updated: January 28, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 28, 2020, Feb 23, 2018 (2 updates tracked since 2018).

About Arbuckle Health Clinic NPPES

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

ARBUCKLE HEALTH CLINIC (NPI 1770084808) is a healthcare organization registered as a rural health in Arbuckle, California and active in the NPI registry since February 2018. The organization holds a CLIA Waiver certificate valid through July 17, 2028 and lists Tammy Jean Thompson, Vp Finance, as its authorized official.

NPPES Registry Identity

NPI1770084808
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameCOLUSA MEDICAL CENTER, LLC
Location Address900 KING STREETArbuckle, CA 95912
Mailing Address700 17th St Ste 201dModesto, CA 95354-1249
Fax(530) 619-0897
Organization SubpartYes
Authorized OfficialTammy Jean ThompsonVp Finance · (209) 248-7851
Enumeration DateFebruary 23, 2018
Last NPPES UpdateJanuary 28, 20202 updates tracked since enumeration
NPI 1770084808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
900 KING STREET, Arbuckle, CA 95912

Other Names 1

Other NameArbuckle 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 05D2116048

Arbuckle Health Clinic · Arbuckle, CA
Active · expires Jul 17, 2028
CLIA Number05D2116048
Laboratory TypeHospital Out Patient Clin
Certificate Effective DateJuly 18, 2026
Certificate Expiration DateJuly 17, 2028
Laboratory DirectorMichael Goodman
Laboratory Phone(530) 619-0800
Laboratory LocationArbuckle Health Clinic900 King St, Arbuckle, CA 95912
CLIA data matches this NPI record on: Address Name Phone
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.

Family Medicine
900 KING STREET
ARBUCKLE, CA 95912

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 Colusa Medical Center, LLC's NPI number?

The NPI number for Colusa Medical Center, LLC is 1770084808. It was assigned to this organization in the NPPES registry on February 23, 2018.

Where is Colusa Medical Center, LLC located?

Colusa Medical Center, LLC is located at 900 King Street, Arbuckle, CA 95912. The listed phone number is (530) 619-0800.

What is Colusa Medical Center, LLC's specialty?

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

Does Colusa Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2116048) is associated with this NPI, valid through July 17, 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 Colusa Medical Center, LLC was last updated on January 28, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.