PIT RIVER HEALTH SERVICE, INC.; NPI #1891762985

Contact Information

PIT RIVER HEALTH SERVICE, INC.

36977 PARK AVE
BURNEY, CA 96013

Phone: 530-335-5090
Fax: 530-335-5241
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Rural Health	261QR1300X	B4[14]	Rural Health Clinic
Community Health	261QC1500X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for PIT RIVER HEALTH SERVICE, INC.

NPI # 1891762985

LBN Legal business name PIT RIVER HEALTH SERVICE, INC.

Authorized official BRANDI GIBBS - (BUSINESS SERVICES MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/07/2006

Last updated 01/25/2023 - About 3 years ago

Identifiers

CA	License #	230000179
CA	Medicaid	THP00001F

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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