Eastern Plumas Health Care Portola

LBN: Eastern Plumas Health Care District
Eastern Plumas Health Care Portola is an health care organization with primary practice located at 480 1St Ave , Portola CA 96122-9405. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Eastern Plumas Health Care District can be contacted via phone (530) 832-6600, or through Nelson, Jerilee via phone (530) 832-6578.

Contact Information

Primary practice address
480 1St Ave Portola CA 96122-9405
Phone: (530) 832-6600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Jerilee CPA
Phone: (530) 832-6578

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Ambulatory Health Care Facilities / Rural Health 261QR1300X 058522 California
Ambulatory Health Care Facilities / Rural Health 261QR1300X 230000014 California

Profile Details

NPI number 1114923919
LBN Legal business name Eastern Plumas Health Care District
DBA Doing business as Eastern Plumas Health Care Portola
Authorized official Nelson, Jerilee CPA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2005
Last updated Dec 21st, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114923919 NPPES
California MEDICAID RHM18522F
California Other ZZZ30855Z

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