Organization
PIT RIVER HEALTH SERVICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI GIBBS (BUSINESS SERVICES MANAGER)
(530) 335-5090
Entity
Organization
Contact information
Practice address
36977 PARK AVE, BURNEY, CA 96013
(530) 335-5090
(530) 335-5241
Mailing address
36977 PARK AVE, BURNEY, CA 96013-4067
(530) 335-5090
(530) 335-5241
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
230000179
CA
261QR1300X
Rural Health Clinic/Center
Primary
230000179
CA
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THP00001F
—
CA
Enumeration date
03/07/2006
Last updated
01/25/2023
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