Mccloud Healthcare Clinic, Inc. - Medicare Primary Care in Mccloud, CA

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Mccloud Healthcare Clinic, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Mccloud, California. The current practice location for Mccloud Healthcare Clinic, Inc. is 116 W Minnesota Ave, Mccloud, California. For appointments, you can reach them via phone at (530) 964-2389. The mailing address for Mccloud Healthcare Clinic, Inc. is Po Box 1143, Mccloud, California and phone number is (530) 964-2389.

Mccloud Healthcare Clinic, Inc. is licensed to practice in California (license number 550001195). The clinic also participates in the medicare program and its NPI number is 1164428488. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (530) 964-2389.

Contact Information

Mccloud Healthcare Clinic, Inc.
116 W Minnesota Ave
Mccloud
CA 96057-1143
(530) 964-2389
(530) 964-3141

Map and Direction


Primary Care Clinic Profile

Full NameMccloud Healthcare Clinic, Inc.
SpecialityClinic/Center
Location116 W Minnesota Ave, Mccloud, California
Authorized Official Name and PositionCaleb J Ott (ADMINISTRATOR)
Authorized Official Contact5309266309
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mccloud Healthcare Clinic, Inc.
Po Box 1143
Mccloud
CA 96057-1143

Ph: (530) 964-2389		Mccloud Healthcare Clinic, Inc.
116 W Minnesota Ave
Mccloud
CA 96057-1143

Ph: (530) 964-2389

NPI Details:

NPI Number1164428488
Provider Enumeration Date06/22/2005
Last Update Date03/23/2023

Medicare PECOS Information:

Medicare PECOS PAC ID3779494919
Medicare Enrollment IDO20031118001091

Medical Identifiers

Medical identifiers for Mccloud Healthcare Clinic, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164428488NPI-NPPES
ZZZ24754ZOtherCAMEDICARE PART B
RHM53934FMedicaidCA
ZZZ24754ZOtherCABCBS
55-3934OtherCACAHABA GBA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QR1300XClinic/center - Rural Health 553934 (California)Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 550001195 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Mccloud Healthcare Clinic, Inc. acts as a billing entity for following providers:
Provider NameJack Saunders
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1477564078
PECOS PAC ID: 2466348214
Enrollment ID: I20040226001144
Provider NameMirtha L Balcazar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174515969
PECOS PAC ID: 7618886953
Enrollment ID: I20040924000459
Provider NameRichard H Nielsen
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1417955113
PECOS PAC ID: 1355379611
Enrollment ID: I20050728001108
Provider NameCecily Helen Shaw-scala
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1447235585
PECOS PAC ID: 5395764252
Enrollment ID: I20051122000212
Provider NameAlan D Cooper
Provider TypePractitioner - Chiropractic
Provider IdentifiersNPI Number: 1396885661
PECOS PAC ID: 7517988173
Enrollment ID: I20051209000664
Provider NameGrady R Fort
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1982765582
PECOS PAC ID: 2163522863
Enrollment ID: I20070710001031
Provider NameDavid G Holst
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1164416764
PECOS PAC ID: 5799710497
Enrollment ID: I20080529000454
Provider NameRonald K Lagro
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1922092527
PECOS PAC ID: 0345275046
Enrollment ID: I20080529000717
Provider NameLeslie J Andrews
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1104810712
PECOS PAC ID: 7517992217
Enrollment ID: I20080529000795
Provider NameHarvey J Sternberg
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376539981
PECOS PAC ID: 1355376054
Enrollment ID: I20080530000359
Provider NameJoyce I Tatelman
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1447276878
PECOS PAC ID: 8123158441
Enrollment ID: I20100628000338
Provider NameYu-tai Wu
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1568725562
PECOS PAC ID: 2567604184
Enrollment ID: I20130812000389
Provider NameJulie M Fadness
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740625516
PECOS PAC ID: 3971746207
Enrollment ID: I20130905000275
Provider NameKimberly Ann Orta
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942574488
PECOS PAC ID: 2567735921
Enrollment ID: I20170906002665
Provider NameSara Wubben
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1851675326
PECOS PAC ID: 4082848684
Enrollment ID: I20180223001861
Provider NameJeffrey Dean Ridge
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083180533
PECOS PAC ID: 2668707738
Enrollment ID: I20190711001214
Provider NameClaudia Awamleh
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881168714
PECOS PAC ID: 1254668650
Enrollment ID: I20190807003852
Provider NameJade L Sekeres
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487208252
PECOS PAC ID: 0749512721
Enrollment ID: I20191023003413
Provider NameSam Rohani
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1790321891
PECOS PAC ID: 5890122105
Enrollment ID: I20200226002835
Provider NameMegan Hoy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588207351
PECOS PAC ID: 7214344274
Enrollment ID: I20210318002619
Provider NameKatherine Lai
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1548782253
PECOS PAC ID: 0244504678
Enrollment ID: I20210916001513
Provider NameSarah Gilman-short
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1669799979
PECOS PAC ID: 4880830066
Enrollment ID: I20211112001787
Provider NameSze Kei Yeung
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1376206177
PECOS PAC ID: 5294125613
Enrollment ID: I20211129001564
Provider NameJeanette Vo-vu
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1609150283
PECOS PAC ID: 9537559307
Enrollment ID: I20211209002338

Reviews and Comments


Clinic/Center in Mccloud, CA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.