Organization
MCCLOUD HEALTHCARE CLINIC, INC.
Active
Organization
MCCLOUD HEALTHCARE CLINIC, INC.
Active
Parent organization
MCCLOUD HEALTHCARE CLINIC, INC.
Other names
Shasta Cascade Health Centers- Mt Shasta
Organization subpart
Yes
Provider details
NPI number
Legal business name
MCCLOUD HEALTHCARE CLINIC, INC.
Authorized official
CALEB J OTT (CEO)
(530) 964-2389
Entity
Organization
Contact information
Practice address
824 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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
11/01/2024
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