# EASTERN PLUMAS HEALTH CARE DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EASTERN PLUMAS HEALTH CARE
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609872415
- **Authorized official:** MS. JERILEE NELSON CPA (CFO)
- **Authorized official phone:** (530) 832-6578

## 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 |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 230000014 | CA | — |
| 314000000X | Skilled Nursing Facility | 555433 | CA | Yes |

## Other

- **Enumeration date:** 06/27/2005
- **Last updated:** 11/19/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 050566 | BC | — |
| 05 | — | LTC55433F | — | CA |