NPIMap

Organization Active NPI

Harmony Health Medical Clinic and Family Resource Center

  • Federally Qualified Health Center (FQHC)
  • Marysville, CA
National Provider Identifier
1124130620
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
550002538 Issued in CA
Legal business name
HARMONY HEALTH MEDICAL CLINIC AND FAMILY RESOURCE CENTER
Practice address
1908 N Beale Rd Ste E
Marysville, CA 95901-6937
Phone
(530) 743-6888
Fax
(530) 743-9823
NPI assigned
Aug 31, 2006
Organization subpart
No

Owners & managing parties with NPI records 5

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151005001633 CA Part A Provider - Federally Qualified Health Center (FQHC) 2264651132 Practice locations: Marysville, CA

Federally qualified health center certification: CCN 751823

Legal name
HARMONY HEALTH MEDICAL CLINIC AND FAMILY RESOURCE CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Sep 16, 2015
Last certification
Sep 16, 2015
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jun 27, 2004 in CA
Enrollment address
1908 N Beale Rd
Ste E
Marysville, CA 95901-6937

All disclosed owners & managing parties 19

Medicare enrollment files

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Shane Thompson Individual Corporate DirectorCorporate Director Apr 2, 2025
Michelle Gracier Individual Corporate DirectorCorporate Director Jan 1, 2012
Emil J Vodonick Individual Corporate DirectorCorporate Director Jul 1, 2020
Wendell Peters Individual Corporate Director Aug 12, 2015
Jennifer Hunter Individual W-2 Managing EmployeeChief Financial Officer Aug 3, 2001
Harmony Health Medical Clinic and Family Resource Center Organization, Marysville, CA Corporation, Non-profit Operational/Managerial Control Aug 1, 2015 100%
Renee Garcia Individual Corporate OfficerTreasurer Jul 5, 2024
Eric Paredes Individual Corporate DirectorCorporate Director Oct 9, 2024
Jagdeep Basi Individual Corporate OfficerChair May 1, 2019
Anu Goyal Individual Corporate DirectorCorporate Director Feb 12, 2025
Michelle Costello Individual Corporate DirectorCorporate Director Feb 3, 2010
Erika Parra Individual Corporate DirectorCorporate Director Feb 8, 2023
Craig a Rhoades Individual W-2 Managing EmployeeMD; Jul 25, 2018
Sandy Ross Individual Corporate OfficerSecretary Sep 8, 2021
William Callahan Individual Corporate Director Aug 1, 2015
Rachel Farrell Individual W-2 Managing EmployeeCorporate Officer May 1, 2015 100%
Jeremy Brown Individual Corporate OfficerVice Chair Aug 4, 2021
Karissa Morehouse Individual Corporate DirectorCorporate Director Jul 2, 2025
Nicolas Sigala Individual W-2 Managing EmployeeChief Operations Officer Aug 26, 1999

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1908 N Beale Rd
Ste E
Marysville, CA 95901
Phone (530) 743-6888

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Rachel Farrell, PA-C
Title
Chief Executive Officer
Phone
(530) 743-6888

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Federally Qualified Health Center (FQHC) 261QF0400X 550002538 CA Primary
Rural Health Clinic/Center 261QR1300X RHM53942F CA

Addresses

Primary practice location

1908 N Beale Rd Ste E
Marysville, CA 95901-6937

Mailing address

1908 N Beale Rd Ste E
Marysville, CA 95901-6937
Phone (530) 743-6888

Other identifiers 2

IdentifierTypeStateIssuer
RHM53942FMedicaidCA
HAP53942FMedicaidCA

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1124130620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 N BEALE RD STE E",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016937",
            "telephone_number": "530-743-6888",
            "fax_number": "530-743-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 N BEALE RD STE E",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959016937",
            "telephone_number": "530-743-6888",
            "fax_number": "530-743-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY HEALTH MEDICAL CLINIC AND FAMILY RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "530-743-6888",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "550002538",
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "RHM53942F",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM53942F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP53942F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, CA

Sources for this page

Verify at the official NPI Registry.