# SURPRISE VALLEY HEALTH CARE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Surprise Valley Medical Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073693651
- **Authorized official:** WANDA L GROVE (ADMINISTRATOR)
- **Authorized official phone:** (530) 279-6111

## Contact information

- **Practice address:** 745 MAIN STREET, CEDARVILLE, CA 96104
- **Practice address phone:** (530) 279-6111
- **Practice address fax:** (530) 279-2680
- **Mailing address:** PO BOX 246, CEDARVILLE, CA 96104-0246
- **Mailing address phone:** (530) 279-6111
- **Mailing address fax:** (530) 279-2680

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 230000025 | CA | Yes |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 09/11/2013