Organization · Type 2 NPI

Mountain Communities Healthcare District

Rural Health Clinic/Center · Hayfork, CA

NPI number 1669617783 Active

Practice location

6961 Highway 3
Hayfork, CA 96041-0220

Call (530) 628-5517 Map

Fax (530) 628-5524

Mailing address

PO Box 1229
Weaverville, CA 96093-1229

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	230000038 (CA)

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

Another provider at this address

Michael L. Gibson, F.N.P.Nurse Practitioner Hayfork, CA NPI 1376774034

NPI record

NPI: 1669617783
Entity type: Organization (Type 2)
Issued: Dec 3, 2008
Last updated: Dec 11, 2019
Status: Active

Other names

<unavail>
Hayfork Community Health Clinic · doing business as
Hayfork Community Health Clinic · doing business as

Authorized official

Mr. Aaron Rogers
Chief Executive Officer
(530) 623-2687

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 1669617783

Mountain Communities Healthcare District's National Provider Identifier is 1669617783, issued on Dec 3, 2008. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Hayfork, CA. The record was last updated on Dec 11, 2019.