Active NPI
Scott Valley Respiratory Home Care Inc
- Durable Medical Equipment & Medical Supplies
- Yreka, CA
National Provider Identifier
1265515332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- SR JHG 99939305
- Legal business name
- SCOTT VALLEY RESPIRATORY HOME CARE INC
- Practice address
- 1517 S Oregon St
B
Yreka, CA 96097-3425 - Phone
- (530) 841-3000
- Fax
- (530) 841-3002
- NPI assigned
- Oct 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Pamela Janeen Short
- Title
- Chief Financial Officer
- Phone
- (530) 841-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | SR JHG 99939305 | CA | Primary |
Addresses
Primary practice location
1517 S Oregon St
B
Yreka, CA 96097-3425
Mailing address
1517 S Oregon St
B
Yreka, CA 96097-3425
Phone (530) 841-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME00952H | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Scott Valley Respiratory Home Care Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Yreka, CA
- NPI 1336369164
Locations
1517 S Oregon St
#B
Yreka, CA 96097
Phone (530) 841-3000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1265515332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1517 S OREGON ST",
"address_2": "B",
"city": "YREKA",
"state": "CA",
"postal_code": "960973425",
"telephone_number": "530-841-3000",
"fax_number": "530-841-3002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1517 S OREGON ST",
"address_2": "B",
"city": "YREKA",
"state": "CA",
"postal_code": "960973425",
"telephone_number": "530-841-3000",
"fax_number": "530-841-3002"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT VALLEY RESPIRATORY HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SHORT",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "JANEEN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "530-841-3000",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": "SR JHG 99939305",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "DME00952H",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Yreka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.