| Mountain Valleys Health Centers | |
|
610 West 3rd Street Dorris CA 96023 | |
| (530) 397-8411 | |
| (530) 397-4567 |
| Full Name | Mountain Valleys Health Centers |
|---|---|
| Speciality | Clinic/Center |
| Location | 610 West 3rd Street, Dorris, California |
| Authorized Official Name and Position | Brandon Watkins (CFO) |
| Authorized Official Contact | 5309999010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain Valleys Health Centers Po Box 277 Bieber CA 96009-0277 Ph: (530) 999-9010 | Mountain Valleys Health Centers 610 West 3rd Street Dorris CA 96023 Ph: (530) 397-8411 |
| NPI Number | 1013088582 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 07/28/2023 |
| Medicare PECOS PAC ID | 4284685538 |
|---|---|
| Medicare Enrollment ID | O20100804000414 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013088582 | NPI | - | NPPES |
| 1013088582 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Mountain Valleys Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 610 W 3rd St, Dorris, CA 96023 Phone: 530-999-9070 |