COLUSA MEDICAL CENTER, LLC (NPI# 1578064846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578064846 |
| Entity Type | Organization |
| Organization Name | COLUSA MEDICAL CENTER, LLC |
| Other Organization Name | COLUSA HEALTH CLINIC |
| Practice Address |
151 E Webster St Colusa CA 95932-2949 |
| Mailing Address |
700 17th St Ste 201d Modesto CA 95354-1249 |
| Practice Telephone | 5306190800 |
| Practice Fax Number | 5306190297 |
| Enumeration Date | 2018-02-22 |
| Last Update Date | 2020-06-02 |
| Authorized Official Name | TAMMY JEAN THOMPSON (VP FINANCE) |
| Authorized Official Telephone | 2092487851 |
| Is Organization Subpart | Y |
| Parent Organization Name | COLUSA MEDICAL CENTER, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Colusa Health Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972072163 | Colusa Medical Center, LLC | Clinic/Center | 645 Antelope Blvd Ste 24, Red Bluff, CA 96080-2463 | 2018-11-16 |
| 1215406400 | Colusa Medical Center, LLC | Clinic/Center | 750 E Walker St, Orland, CA 95963-2222 | 2018-11-16 |
| 1770084808 | Colusa Medical Center, LLC | Clinic/Center | 900 King Street, Arbuckle, CA 95912 | 2018-02-23 |
| 1396246633 | Colusa Medical Center, LLC | Clinic/Center | 501 E St, Williams, CA 95987-5810 | 2018-02-22 |
| 1689189110 | Colusa Medical Center, LLC | Home Health | 199 E Webster St, Colusa, CA 95932-2954 | 2017-12-06 |
| Street Address |
151 E WEBSTER ST |
| City | COLUSA |
| State | CA |
| Zip Code | 95932-2949 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245210889 | Regents of The University of Ca | Clinic/Center | 151 E Webster St, Colusa, CA 95932-2949 | 2006-01-19 |
| 1508212424 | Adventist Health Clearlake Hospital Inc | Clinic/Center | 151 E Webster St, Colusa, CA 95932-2949 | 2016-05-10 |
| 1972957520 | Adventist Health Physicians Network | Dermatology | 151 E Webster St, Colusa, CA 95932-2949 | 2016-04-20 |
| 1235155318 | Ethelwoldo Pascual Guerrero | Internal Medicine | 151 E Webster St, Colusa, CA 95932-2949 | 2006-07-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366934218 | Austin James Chase | Social Worker | 162 E. Carson St, Colusa, CA 95932 | 2018-06-05 |
| 1801253018 | Daniel Hernandez Jr. | Counselor | 160 E. Carson St., Colusa, CA 95932 | 2016-01-19 |
| 1689834905 | Lisa S Dropp | General Practice | 555 Fremont Street, Colusa, CA 95932 | 2008-06-10 |
| 1023220167 | Daniel Joseph Mcclough | Physician Assistant | 501 E Street, Williams, CA 95932 | 2007-05-03 |
| 1811098809 | Tulsi Manish Parikh | Physical Therapist | 199 E Webster Street, Colusa, CA 95932 | 2006-09-25 |
| 1972601417 | Clay M Gidel | Dentist | 3000 Davison Court, Colusa, CA 95932 | 2006-09-20 |
| 1316992068 | Lawrence M Highman | Surgery | 155 E Webster St, Colusa, CA 95932 | 2006-05-23 |
| 1144215427 | Colusa Regional Medical Center | General Acute Care Hospital | 199 E. Webster Street, Colusa, CA 95932 | 2005-09-13 |
| 1790778660 | Colusa Indian Community Council | Clinic/Center | 3710 Highway 45, Colusa, CA 95932 | 2005-08-25 |
| 1265940894 | California Specialty Hosptial North | General Acute Care Hospital | 199 E Webster St, Colusa, CA 95932 | 2018-01-17 |
| Find all providers in zip 95932 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215475124 | Colusa Medical Center LLC | Clinic/Center | 199 E Webster St, Colusa, CA 95932-2954 | 2017-02-11 |
| 1508212424 | Adventist Health Clearlake Hospital Inc | Clinic/Center | 151 E Webster St, Colusa, CA 95932-2949 | 2016-05-10 |
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|---|---|---|---|---|
| 1821699620 | Reedley Community Hospital | Clinic/Center | 398 S Church Road, Earlimart, CA 93219 | 2020-11-06 |
| 1174130942 | Kaweah Delta Health Care District | Clinic/Center | 1000 N Mooney Blvd, Tulare, CA 93274-2417 | 2020-09-25 |
| 1922614197 | Sierra View Local Health Care District | Clinic/Center | 9520 Road 238, Terra Bella, CA 93270 | 2020-09-22 |
| 1124643598 | Valley Healthcare Centers | Clinic/Center | 369 N Church Rd, Earlimart, CA 93219 | 2020-06-11 |
| 1477177210 | Anand Narayan Md Inc | Clinic/Center | 317 W El Monte Way, Dinuba, CA 93618-1557 | 2020-06-06 |
| 1902435894 | Slt Medical Group Inc | Clinic/Center | 2024 Lake Tahoe Blvd, South Lake Tahoe, CA 96150-6498 | 2020-04-03 |
| 1881232676 | Madera Community Hospital | Clinic/Center | 121 Belmont Ave., Suite 101, Mendota, CA 93640 | 2019-12-12 |
| 1790331817 | Valley Healthcare Centers | Clinic/Center | 252 N Highway 65, Lindsay, CA 93247-2702 | 2019-08-14 |
| 1093274508 | Adventist Health Clearlake Hospital, Inc | Clinic/Center | 6300 E. Highway 20, Lucerne, CA 95458 | 2019-03-14 |
| 1679038434 | Ridgecrest Regional Hospital | Clinic/Center | 105 E Sydnor Ave, Ridgecrest, CA 93555-5546 | 2019-02-06 |
| 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.