# EASTERN PLUMAS HEALTH CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275539116
- **Authorized official:** MRS. JERILEE NELSON CPA (CFO)
- **Authorized official phone:** (530) 832-6577

## Contact information

- **Practice address:** 500 1ST AVE, PORTOLA, CA 96122-9406
- **Practice address phone:** (530) 832-6500
- **Practice address fax:** (530) 832-1105
- **Mailing address:** 500 1ST AVE, PORTOLA, CA 96122-9406
- **Mailing address phone:** (530) 832-6500
- **Mailing address fax:** (530) 832-1105

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 0366490002 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 100604 | CA | — |

## Other

- **Enumeration date:** 06/24/2005
- **Last updated:** 06/11/2009