Organization
EASTERN PLUMAS HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JERILEE NELSON CPA (CFO)
(530) 832-6577
Entity
Organization
Contact information
Practice address
500 1ST AVE, PORTOLA, CA 96122-9406
(530) 832-6500
(530) 832-1105
Mailing address
500 1ST AVE, PORTOLA, CA 96122-9406
(530) 832-6500
(530) 832-1105
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ92583Z
BLUE SHIELD RAD PRO FEES
CA
Enumeration date
06/30/2005
Last updated
08/22/2020
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