Organization · Type 2 NPI
McCloud Healthcare Clinic, Inc.
Federally Qualified Health Center (FQHC) · Mccloud, CA
NPI number
1164428488
Active
Practice location
116 W Minnesota Ave
Mccloud, CA 96057-1143
Fax (530) 964-3141
Mailing address
PO Box 1143
Mccloud, CA 96057-1143
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 550001195 (CA) |
| Rural Health Clinic/Center | 261QR1300X | 553934 (CA) |
Federally Qualified Health Center (FQHC): Definition to come...
4 other providers at this address
About NPI 1164428488
McCloud Healthcare Clinic, Inc.'s National Provider Identifier is 1164428488, issued on Jun 22, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mccloud, CA. The record was last updated on Mar 23, 2023.