INDIAN VALLEY MEDICAL CLINIC
NPI 1881068708
Clinic/Center - Rural Health in Greenville, CA

Active since November 16, 2015CLIA 05D2110223 · Waiver
176 HOT SPRINGS RD, GREENVILLE, CA 95947(530) 284-6116(530) 284-6926 Get Directions Write a Review

NPPES record last updated: October 7, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 7, 2022, Dec 8, 2015, Nov 16, 2015 (3 updates tracked since 2015).

About Indian Valley Medical Clinic NPPES

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

INDIAN VALLEY MEDICAL CLINIC (NPI 1881068708) is a healthcare organization registered as a rural health in Greenville, California and active in the NPI registry since November 2015. The organization holds a CLIA Waiver certificate valid through May 15, 2028 and lists Jeffrey Kepple, Ceo, as its authorized official.

NPPES Registry Identity

NPI1881068708
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePLUMAS DISTRICT HOSPITAL
Location Address176 HOT SPRINGS RDGreenville, CA 95947-9747
Mailing Address176 Hot Springs RdGreenville, CA 95947-9747 · (530) 284-6116 · Fax (530) 284-6926
Fax(530) 284-6926
Organization SubpartYes
Authorized OfficialJeffrey KeppleCeo · (530) 283-7127
Enumeration DateNovember 16, 2015
Last NPPES UpdateOctober 7, 20223 updates tracked since enumeration
NPPES CertifiedOctober 7, 2022
NPI 1881068708 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 · 230000030
176 HOT SPRINGS RD, Greenville, CA 95947

Other Names 1

Other NameIndian Valley Medical 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 05D2110223

Indian Valley Medical Clinic · Greenville, CA
Active · expires May 15, 2028
CLIA Number05D2110223
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 16, 2026
Certificate Expiration DateMay 15, 2028
Laboratory DirectorMichael Powell
Laboratory Phone(530) 284-6116
Laboratory LocationIndian Valley Medical Clinic174 Hot Springs Rd, Greenville, CA 95947
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Rural Health)
176 HOT SPRINGS RD
GREENVILLE, CA 95947
Physician Assistant
176 HOT SPRINGS RD
GREENVILLE, CA 95947

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 Plumas District Hospital's NPI number?

The NPI number for Plumas District Hospital is 1881068708. It was assigned to this organization in the NPPES registry on November 16, 2015. The provider is also known as Indian Valley Medical Clinic.

Where is Plumas District Hospital located?

Plumas District Hospital is located at 176 Hot Springs Rd, Greenville, CA 95947. The listed phone number is (530) 284-6116.

What is Plumas District Hospital's specialty?

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

Does Plumas District Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2110223) is associated with this NPI, valid through May 15, 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 Plumas District Hospital was last updated on October 7, 2022. 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.