Organization · Type 2 NPI

Eastern Plumas Health Care District

Rural Health Clinic/Center · Portola, CA

NPI number 1114923919 Active

Practice location

480 1st Ave
Portola, CA 96122-9405

Call (530) 832-6600 Map

Mailing address

500 1st Ave
Portola, CA 96122-9406

Specialties and licenses

Taxonomy	Code	License
Case Manager/Care Coordinator	171M00000X	None listed
Rural Health Clinic/Center Primary	261QR1300X	058522 (CA)
Rural Health Clinic/Center	261QR1300X	230000014 (CA)

Rural Health Clinic/Center: Definition to come...

8 other providers at this address

Other rural health clinic/center providers in Portola

Eastern Plumas Health Care DistrictRural Health Clinic/Center Portola, CA NPI 1073990925

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NPI record

NPI: 1114923919
Entity type: Organization (Type 2)
Issued: Jun 27, 2005
Last updated: Dec 21, 2022
Status: Active

Other names

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Eastern Plumas Health Care Portola · doing business as
Eastern Plumas Health Care Portola · doing business as

Authorized official

Jerilee Nelson, CPA
CFO
(530) 832-6578

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1114923919

Eastern Plumas Health Care District's National Provider Identifier is 1114923919, issued on Jun 27, 2005. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Portola, CA. The record was last updated on Dec 21, 2022.