Mountain Valleys Health Centers Inc
Organization Active NPI Federally Qualified Health Center (FQHC) · Bieber, CA
NPI 1235310384 · NPPES record last updated Jul 28, 2023
Key facts
- NPI
- 1235310384
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Federally Qualified Health Center (FQHC) 261QF0400X
- Legal business name
- MOUNTAIN VALLEYS HEALTH CENTERS INC
- Practice address
- 554-850 Medical Center Drive
Bieber, CA 96009 - Phone
- (530) 999-9010
- Fax
- (530) 294-5392
- NPI assigned
- Nov 16, 2007
- Reactivated
- May 16, 2018
- Organization subpart
- No
Authorized official
- Name
- Brandon Watkins
- Title
- Cfo
- Phone
- (530) 999-9010
Other NPIs on the same Medicare enrollment 9
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050429000424 | CA | Part B Supplier - Clinic/Group Practice | 4284685538 |
Receives reassigned benefits from 52 practitioners 10 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Dorris, CA; Weed, CA; Tulelake, CA; Mount Shasta, CA; Fall River Mills, CA; Burney, CA; Bieber, CA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Yes |
Addresses
Primary practice location
554-850 Medical Center Drive
Bieber, CA 96009
Mailing address
PO Box 277
Bieber, CA 96009-0277
Phone (530) 999-9010
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| EAP03915F | Medicaid | CA |
Other names
- Big Valley Health Center
- Big Valley Medical Center
- Burney Dental Center
- Burney Health Center
- Butte Valley Health Center
- Fall River Valley Health Center
- Mount Shasta Health Center
- Tulelake Health Center
- Weed Health Center
Other providers in Bieber, CA
- Sharon A Hanson
- HSS 1 Stop Big Valley
- Lassen County
- Jackie Lebaron
- Mountain Valleys Health Centers
- Johnny Nguyen
- Michael A Rodriguez
- Sierra Vanover
- Gail Leanne Watkins
- Rachel Y Westlund
All providers in Bieber, CA · Federally Qualified Health Center (FQHC) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.