NPIMap

Organization Active NPI

Mayers Memorial Hospital District

Doing business as Fall River Community Care Clinic

  • Rural Health Clinic/Center
  • Fall River Mills, CA
National Provider Identifier
1033900030
Registry record updated May 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MAYERS MEMORIAL HOSPITAL DISTRICT
Doing business as
Fall River Community Care Clinic
Practice address
43563 State Highway 299 E
Fall River Mills, CA 96028-9787
Phone
(530) 336-7570
NPI assigned
May 16, 2025
Last updated
May 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Travis Howard Lakey
Title
Cfo
Phone
(530) 336-7512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

43563 State Highway 299 E
Fall River Mills, CA 96028-9787

Mailing address

PO Box 459
Fall River Mills, CA 96028-0459

Other names 1

  • Fall River Community Care Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mayers Memorial Hospita7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/9e09a9e0-82cb-49ff-b12a-2b6fea0b48fa/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747353600000",
    "number": "1033900030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "FALL RIVER MILLS",
            "state": "CA",
            "postal_code": "960280459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43563 STATE HIGHWAY 299 E",
            "city": "FALL RIVER MILLS",
            "state": "CA",
            "postal_code": "960289787",
            "telephone_number": "530-336-7570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYERS MEMORIAL HOSPITAL DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A",
        "authorized_official_last_name": "LAKEY",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_middle_name": "HOWARD",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-336-7512"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fall River Community Care Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fall River Mills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.