# PIT RIVER HEALTH SERVICE, INC.

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

## Provider details

- **NPI number:** 1891762985
- **Authorized official:** BRANDI GIBBS (BUSINESS SERVICES MANAGER)
- **Authorized official phone:** (530) 335-5090

## Contact information

- **Practice address:** 36977 PARK AVE, BURNEY, CA 96013
- **Practice address phone:** (530) 335-5090
- **Practice address fax:** (530) 335-5241
- **Mailing address:** 36977 PARK AVE, BURNEY, CA 96013-4067
- **Mailing address phone:** (530) 335-5090
- **Mailing address fax:** (530) 335-5241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 230000179 | CA | — |
| 261QR1300X | Rural Health Clinic/Center | 230000179 | CA | Yes |
| 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | — | NULL | — |

## Other

- **Enumeration date:** 03/07/2006
- **Last updated:** 01/25/2023