Organization
MOUNTAIN VALLEYS HEALTH CENTERS
Active
Organization
MOUNTAIN VALLEYS HEALTH CENTERS
Active
Other names
Mount Shasta Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON WATKINS (CFO)
(530) 999-9010
Entity
Organization
Contact information
Practice address
101 OLD MCCLOUD RD, MOUNT SHASTA, CA 96067-2796
(530) 999-9040
Mailing address
PO BOX 277, BIEBER, CA 96009-0277
(530) 999-9010
(530) 294-5392
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629570320
—
CA
Enumeration date
03/08/2018
Last updated
07/28/2023
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