# LAST FRONTIER HEALTHCARE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Modoc Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326146333
- **Authorized official:** WALT BECK CPA (CEO)
- **Authorized official phone:** (530) 233-5883

## Contact information

- **Practice address:** 225 W MCDOWELL AVE, ALTURAS, CA 96101-3933
- **Practice address phone:** (530) 233-3416
- **Practice address fax:** (530) 233-6609
- **Mailing address:** 228 W MCDOWELL AVE, ALTURAS, CA 96101-3934
- **Mailing address phone:** (530) 233-5131
- **Mailing address fax:** (530) 233-6609

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 09/21/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | LTC55420F | — | CA |