Organization
MCCLOUD HEALTHCARE CLINIC, INC.
Active
Parent organization
MCCLOUD HEALTHCARE CLINIC, INC.
Other names
Siskiyou Medical Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCCLOUD HEALTHCARE CLINIC, INC.
Authorized official
JAMES PROFFITT (CEO)
(530) 964-2389
Entity
Organization
Contact information
Practice address
828 PINE ST, MOUNT SHASTA, CA 96067-2137
(530) 926-4528
Mailing address
PO BOX 1143, MCCLOUD, CA 96057-1143
(530) 964-2389
Taxonomy
Speciality
Code
Description
License number
State
2471B0102X
Bone Densitometry Radiologic Technologist
Primary
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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