INDIAN VALLEY MEDICAL CLINIC
NPI 1881068708
Clinic/Center - Rural Health in Greenville, CA
- Organization
- Clinic/Center
- Rural Health
- CLIA Number: 05D2110223
- CLIA Cert. Type: Rural Health Clinic
- CLIA Exp. Date: 05-15-2028
About INDIAN VALLEY MEDICAL CLINIC
This page provides the complete NPI Profile along with additional information for Indian Valley Medical Clinic, a primary care provider established in Greenville, California operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1881068708 assigned on November 2015. The practitioner's primary taxonomy code is 261QR1300X with license number 230000030 (CA). The provider is registered as an organization and their NPI record was last updated 4 years ago. The provider's other name is Indian Valley Medical Clinic. The authorized official of this NPI record is Jeffrey Kepple M.d. (Ceo)
- NPI
- 1881068708 Verify this NPI
- Provider Legal Name
- PLUMAS DISTRICT HOSPITAL
- Other Organization Name
- INDIAN VALLEY MEDICAL CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 176 HOT SPRINGS RD GREENVILLE, CA 95947
- Location Phone
- (530) 284-6116
- Location Fax
- (530) 284-6926
- Mailing Address
- 176 HOT SPRINGS RD GREENVILLE, CA 95947
- Mailing Phone
- (530) 284-6116
- Mailing Fax
- (530) 284-6926
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 11-16-2015
- Last Update Date
- 10-07-2022
- Code Navigator
A primary care provider (PCP) like Indian Valley Medical Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Rural Health
- Taxonomy Code
- 261QR1300X
- Type
- Ambulatory Health Care Facilities
- License No.
- 230000030
- License State
- CA
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2110223
- Facility Type
- Rural Health Clinic
- Certificate Effective Date
- May 16, 2026
- Certificate Expiration Date
- May 15, 2028
- Laboratory Director
- MICHAEL POWELL
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Indian Valley Medical Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
GREENVILLE, CA 95947
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881068708, enumerated as an "organization" on November 16, 2015.
The provider is located at 176 HOT SPRINGS RD GREENVILLE, CA 95947 and the phone number is (530) 284-6116.
Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.
