# WILLOW CREEK - SIX RIVERS MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1376570473
- **Authorized official:** DOUGLAS ALLEN SHAW (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (707) 822-7220

## Contact information

- **Practice address:** 850 STATE HWY 96, WILLOW CREEK, CA 95573
- **Practice address phone:** (530) 629-3777
- **Practice address fax:** (530) 629-2866
- **Mailing address:** P.O. BOX 4388, ARCATA, CA 95518-4388
- **Mailing address phone:** (707) 822-7220
- **Mailing address fax:** (707) 826-8258

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 09/20/2019