# EASTERN PLUMAS HEALTH CARE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pine Street Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073990925
- **Authorized official:** THOMAS HAYES (CEO)
- **Authorized official phone:** (530) 832-6564

## Contact information

- **Practice address:** 145 N PINE ST, PORTOLA, CA 96122-8415
- **Practice address phone:** (530) 832-6500
- **Mailing address:** 500 1ST AVE, PORTOLA, CA 96122-9406
- **Mailing address phone:** (530) 832-6500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR1300X | Rural Health Clinic/Center | 230000014 | CA | Yes |

## Other

- **Enumeration date:** 04/29/2015
- **Last updated:** 07/30/2015