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Organization

EASTERN PLUMAS HEALTH CARE DISTRICT

Active
Other names
EASTERN PLUMAS HEALTH CARE
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JERILEE NELSON CPA (CFO)
(530) 832-6578
Entity
Organization

Contact information

Practice address
700 THIRD AVE, LOYALTON, CA 96118
(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
171M00000X
Case Manager/Care Coordinator
261QR1300X
Rural Health Clinic/Center
Primary
058597
CA
261QR1300X
Rural Health Clinic/Center
230000014
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
RHM08597F
CA
01
ZZZC4600Z
BLUE SHIELD
CA
Enumeration date
06/24/2005
Last updated
12/21/2022
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