LAST FRONTIER HEALTHCARE DISTRICT (NPI# 1376164749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376164749 |
| Entity Type | Organization |
| Organization Name | LAST FRONTIER HEALTHCARE DISTRICT |
| Other Organization Name | CANBY FAMILY PRACTICE CLINIC |
| Practice Address |
670 County Road 83 Canby CA 96015-9722 |
| Mailing Address |
228 W Mcdowell Ave Alturas CA 96101-3981 |
| Practice Telephone | 5302334641 |
| Practice Fax Number | 5302332830 |
| Mailing Telephone | 5302335883 |
| Mailing Fax Number | 5302336609 |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-28 |
| Authorized Official Name | KEVIN SCOTT KRAMER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5302335883 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Canby Family Practice Clinic | Doing Business As Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 670 County Road 83, Canby, CA 960159722 | 5302334641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326146333 | Last Frontier Healthcare District | Skilled Nursing Facility | 225 W Mcdowell Ave, Alturas, CA 96101-3933 | 2006-09-21 |
| 1487669032 | Last Frontier Healthcare District | Medicare Defined Swing Bed Unit | 1111 N Nagle St, Alturas, CA 96101-3840 | 2006-07-30 |
| 1841739703 | Last Frontier Healthcare District | Pharmacy | 1111 N Nagle St, Alturas, CA 96101-3840 | 2017-02-13 |
| 1487764064 | Last Frontier Healthcare District | Clinic/Center | 1111 N Nagle St, Alturas, CA 96101-3840 | 2006-08-30 |
| Street Address |
670 COUNTY ROAD 83 |
| City | CANBY |
| State | CA |
| Zip Code | 96015-9722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528063153 | I'sot Inc | Clinic/Center | 670 County Road 83, Canby, CA 96015-9722 | 2005-06-20 |
| 1376909770 | Sara Jeanne Marchessault | Physician Assistant | 670 County Road 83, Canby, CA 96015-0125 | 2016-01-14 |
| 1316327414 | Mickey Cole | Dental Hygienist | 670 County Road 83, Canby, CA 96015 | 2015-06-03 |
| 1316172034 | Joey Chou-yie Chen | Dentist | 670 County Road 83, Canby, CA 96015 | 2009-05-26 |
| 1629242854 | Matthew Sean Edmonds | Family Medicine | 670 County Road 83, Canby, CA 97015 | 2008-04-18 |
| 1225180649 | John Nicholas Bardonner IIi | Dentist | 670 County Road 83, Canby, CA 96015-9722 | 2007-01-17 |
| 1760473706 | Susan Adele Burger | Dental Hygienist | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-31 |
| 1053301689 | Lorna K Boland | Registered Nurse | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-25 |
| 1467442079 | Virginia L Hassler | Nurse Practitioner | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-25 |
| 1841280435 | Raymond P Mandel | Psychologist | 670 County Road 83, Canby, CA 96015-9722 | 2005-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326187261 | Lake Health District | Clinic/Center | 670 County Rd 83, Canby, CA 96015 | 2007-02-06 |
| 1508007238 | Wendy Marie Richardson | Physician Assistant | 670 County Rd 83, Canby, CA 96015 | 2009-03-09 |
| 1093990236 | David Saliba | Dentist | 670 County Rd 83, Canby, CA 96015-9702 | 2008-01-07 |
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326187261 | Lake Health District | Clinic/Center | 670 County Rd 83, Canby, CA 96015 | 2007-02-06 |
| 1245567817 | Providence Health & Services - Oregon | Clinic/Center | 200 S Hazel Dell Way, Canby, OR 97013-7829 | 2009-11-03 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.