National Provider Identifier Database

MCCLOUD HEALTHCARE CLINIC INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

MCCLOUD HEALTHCARE CLINIC, INC.
4309 STAGECOACH ROAD
DUNSMUIR, CA96025
Phone: 530-235-4138
Fax: 530-378-2453
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Rural Health 261QR1300X

* Indicates primary specialty

NPI Profile & details for MCCLOUD HEALTHCARE CLINIC, INC.

NPI Number 1376893420
Legal business name
LBN
MCCLOUD HEALTHCARE CLINIC, INC.
Authorized official CALEB OTT - (CEO)
Entity Organization
Organization subpart No
Enumeration date 09/17/2012
Last updated 11/01/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 550001195
  • CA License #: G32096
  • CA Medicaid: 00G320960

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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