MOUNTAIN VALLEYS HEALTH CENTERS (NPI# 1922179498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922179498 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN VALLEYS HEALTH CENTERS |
| Other Organization Name | FALL RIVER VALLEY HEALTH CENTER |
| Practice Address |
43658 State Highway 299 E Fall River Mills CA 96028-9787 |
| Mailing Address |
Po Box 490 Fall River Mills CA 96028-0490 |
| Practice Telephone | 5303366535 |
| Practice Fax Number | 5303355166 |
| Mailing Telephone | 5303366535 |
| Mailing Fax Number | 5303355166 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2019-07-17 |
| Authorized Official Name | BRANDON WATKINS (CFO) |
| Authorized Official Telephone | 5302945241 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1922179498 | 05 |
| Other Name | Type Code |
|---|---|
| Fall River Valley Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487728952 | Mountain Valleys Health Centers | Clinic/Center | 37394 Cascade Ave, Burney, CA 96013-9628 | 2006-11-17 |
| 1679645121 | Mountain Valleys Health Centers | Clinic/Center | 498 Main Street, Tulelake, CA 96134-0725 | 2006-11-13 |
| 1013088582 | Mountain Valleys Health Centers | Clinic/Center | 610 West 3rd Street, Dorris, CA 96023 | 2006-11-13 |
| 1356438261 | Mountain Valleys Health Centers | Clinic/Center | 554850 Medical Center Drive, Bieber, CA 96009 | 2006-10-10 |
| 1073018305 | Mountain Valleys Health Centers | Clinic/Center | 50 Alamo Ave, Weed, CA 96094-2352 | 2018-03-28 |
| 1629570320 | Mountain Valleys Health Centers | Clinic/Center | 101 Old Mccloud Rd, Mount Shasta, CA 96067-2796 | 2018-03-08 |
| 1851445472 | Mountain Valleys Health Centers | Clinic/Center | 37394 Cascade Ave, Burney, CA 96013-9628 | 2007-01-22 |
| 1245301308 | Mountain Valleys Health Centers | Clinic/Center | 37491 Enterprise Dr, Burney, CA 96013-4380 | 2006-11-12 |
| Street Address |
43658 STATE HIGHWAY 299 E |
| City | FALL RIVER MILLS |
| State | CA |
| Zip Code | 96028-9787 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164792057 | Fall River Fire District | Ambulance | 43155 State Highway 299 E, Fall River Mills, CA 96028 | 2012-01-09 |
| 1144467366 | Rickert Incorporated | Pharmacy | 43597 Hwy 299e, Fall River Mills, CA 96028 | 2009-01-09 |
| 1366655441 | Mayers Memorial Hospital District | Ambulance | 43563 State Highway 299 East, Fall River Mills, CA 96028 | 2007-05-07 |
| 1164545893 | Mayers Memorial Hospital District | Durable Medical Equipment & Medical Supplies | 43563 Highway 299e, Fall River Mills, CA 96028 | 2007-04-09 |
| 1649324294 | Tawana Nichole Nix | Family Medicine | 43563 1/2 Hwy 299, Fall River Mills, CA 96028 | 2007-01-22 |
| 1487702064 | William Vernon Brown | Optometrist | 43124 Highway 299e, Fall River Mills, CA 96028 | 2007-01-08 |
| 1205303229 | Erica Marie Haedrich | Family Medicine | 43563 Hwy 299, Fall River Mills, CA 96028 | 2018-10-29 |
| 1265646152 | Mayers Memorial Hospital District | Pharmacy | 43563 State Highway 299 East, Fall River Mills, CA 96028 | 2007-05-09 |
| 1174737068 | Mayers Memorial Hospital District | Medicare Defined Swing Bed Unit | 43563 State Highway 299 East, Fall River Mills, CA 96028 | 2007-05-09 |
| 1912125667 | Mayers Memorial Hospital District | General Acute Care Hospital | 43563 Highway 299 East, Fall River Mills, CA 96028 | 2007-04-20 |
| Find all providers in zip 96028 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | FALL RIVER MILLS |
| Zip Code | 96028 |
Please comment or provide details below to improve the information on MOUNTAIN VALLEYS HEALTH CENTERS.
| 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.