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PIT RIVER HEALTH SERVICE, INC.
NPI 1891762985
Clinic/Center - Rural Health in Burney, CA

Active since March 07, 2006CLIA 05D0618299 · Waiver
36977 PARK AVE, BURNEY, CA 96013(530) 335-5090(530) 335-5241 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2023, Jan 13, 2021, Jul 22, 2020 and 1 more (4 updates tracked since 2016).

About Pit River Health Service, Inc. NPPES

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

PIT RIVER HEALTH SERVICE, INC. (NPI 1891762985) is a healthcare organization registered as a rural health in Burney, California and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through June 13, 2027, maintains 2 additional practice locations, and lists Brandi Gibbs, Business Services Manager, as its authorized official.

NPPES Registry Identity

NPI1891762985
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePIT RIVER HEALTH SERVICE, INC.
Location Address36977 PARK AVEBurney, CA 96013
Mailing Address36977 Park AveBurney, CA 96013-4067 · (530) 335-5090 · Fax (530) 335-5241
Phone(530) 335-5090
Fax(530) 335-5241
Organization SubpartNo
Authorized OfficialBrandi GibbsBusiness Services Manager · (530) 335-5090
Enumeration DateMarch 7, 2006
Last NPPES UpdateJanuary 25, 20234 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2023
✔ NPI 1891762985 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License✔ Licensed in CA · 230000179
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X · License 230000179 (CA)
Also ListedIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyTaxonomy 332800000X
36977 PARK AVE, Burney, CA 96013
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1150 BIA #76AALTURAS, CA 96101 · Phone (530) 233-3223 · Fax (530) 233-3196
Location 2701 N Main St Ste EAlturas, CA 96101-3493 · Phone (530) 233-3328 · Fax (530) 233-1902

Other Identifiers 1

MedicaidTHP00001FCA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 05D0618299

Pit River Health Service Inc · Burney, CA
Active · expires Jun 13, 2027
CLIA Number05D0618299
Laboratory TypeTribal Clinic
Certificate Effective DateJune 14, 2025
Certificate Expiration DateJune 13, 2027
Laboratory DirectorTawana Nix
Laboratory Phone(530) 335-3651
Laboratory LocationPit River Health Service Inc36977 Park Avenue, Burney, CA 96013
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 13

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

MS. MEAGAN NELLIE MEDINA
Marriage & Family Therapist
36977 PARK AVE
BURNEY, CA 96013
Shasta County (530) 335-0340
MR. DENNIS MERLE THOMPSON MSW, LCSW
Social Worker (Clinical)
36977 PARK AVE
BURNEY, CA 96013
Shasta County (530) 335-4004
ONITA SUE VIRAMONTES CCAPP
Counselor (Addiction (Substance Use Disorder))
36977 PARK AVE
BURNEY, CA 96013
Shasta County (530) 335-4004
MR. JOSE MARIA VALENZUELA
Marriage & Family Therapist
36977 PARK AVE
BURNEY, CA 96013
Shasta County (530) 335-0348
MS. RUTH BARBARA ROESCHLAU R.N.,P.H.N
Clinical Nurse Specialist (Community Health/Public Health)
36977 PARK AVE
BURNEY, CA 96013
Shasta County (530) 335-3651
MARK CLIFFORD GOODWIN MD
Family Medicine
36977 PARK AVE
BURNEY, CA 96013
Shasta County (530) 335-3651
MRS. PHYLLIS ANN HIPPS LCSW
Social Worker (Clinical)
36977 PARK AVE
BURNEY, CA 96013
Shasta County (530) 335-3651
HERSCHEL F KEARNS LCSW
Social Worker (Clinical)
36977 PARK AVE
BURNEY, CA 96013
Shasta County (530) 335-5091

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 Pit River Health Service, Inc.'s NPI number?

The NPI number for Pit River Health Service, Inc. is 1891762985. It was assigned to this organization in the NPPES registry on March 7, 2006.

Where is Pit River Health Service, Inc. located?

Pit River Health Service, Inc. is located at 36977 Park Ave, Burney, CA 96013. The listed phone number is (530) 335-5090.

What is Pit River Health Service, Inc.'s specialty?

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

Does Pit River Health Service, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0618299) is associated with this NPI, valid through June 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pit River Health Service, Inc. accept?

Health plans from UnitedHealthcare list Pit River Health Service, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Pit River Health Service, Inc. was last updated on January 25, 2023. 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.