Organization · Type 2 NPI

McCloud Healthcare Clinic, Inc.

Federally Qualified Health Center (FQHC) · Mount Shasta, CA

NPI number 1386503779 Active

Practice location

822 Pine St
Mount Shasta, CA 96067-2137

Call (530) 926-6309 Map

Fax (530) 926-5070

Mailing address

PO Box 1143
Mccloud, CA 96057-1143

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

4 other providers at this address

Jefferson Neurology, LLCNeurology Physician Mount Shasta, CA NPI 1114239720
Michael Staszel D.o. P.aPrimary Care Clinic/Center Mount Shasta, CA NPI 1396209086
Michael Zbiniew Staszel, DOGeneral Practice Physician Mount Shasta, CA NPI 1417917766
Richard Cyrus Eastman, MDEndocrinology, Diabetes & Metabolism Physician Mount Shasta, CA NPI 1114164407

Other federally qualified health center (fqhc) providers in Mount Shasta

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NPI record

NPI: 1386503779
Entity type: Organization (Type 2)
Issued: Jan 20, 2026
Last updated: Jan 20, 2026
Status: Active
Subpart: Yes of McCloud Healthcare Clinic, Inc.

Other names

Shasta Cascade Health Centers- MT Shasta 822 Pine · doing business as

Authorized official

Caleb Ott
CEO
(530) 926-6309

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 1386503779

McCloud Healthcare Clinic, Inc.'s National Provider Identifier is 1386503779, issued on Jan 20, 2026. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mount Shasta, CA. The record was last updated on Jan 20, 2026.