NPIMap

Organization Active NPI

Mountain Valleys Health Centers

Doing business as Burney Alternative Health Center

  • Federally Qualified Health Center (FQHC)
  • Burney, CA
National Provider Identifier
1306669031
Registry record updated Nov 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MOUNTAIN VALLEYS HEALTH CENTERS
Doing business as
Burney Alternative Health Center
Practice address
37092 State Highway 299 E
Burney, CA 96013-4127
Phone
(530) 999-9010
NPI assigned
Nov 1, 2024
Last updated
Nov 1, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MOUNTAIN VALLEYS HEALTH CENTERS INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 1, 2024

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

Authorized official

Name
Brandon Watkins
Title
Cfo
Phone
(530) 999-0194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

37092 State Highway 299 E
Burney, CA 96013-4127

Mailing address

PO Box 277
Bieber, CA 96009-0277
Phone (530) 999-9010

Other names 1

  • Burney Alternative Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
O20250619000517 CA Part A Provider - Federally Qualified Health Center (FQHC) 4284685538 Practice locations: Burney, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1306669031. Details of each certification follow.

Federally qualified health center certification: CCN A01952

Legal name
MOUNTAIN VALLEYS HEALTH CENTERS
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Apr 8, 2025
Last certification
Apr 8, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
37092 State Highway 299 E
Burney, CA 96013-4127

Other NPIs with the same Medicare PAC ID 8

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

Other NPIs on the same Medicare enrollment 9

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Big Valley Health Cente8 organizations share this tax ID, including this one
Part of
Big Valley Health Cente

Other organizations with this tax ID 7

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

Ownership & related parties

All disclosed owners & managing parties 15

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

NameRoleSinceShare
Jana Blevins Individual Corporate DirectorBoard Member Nov 30, 2020
Edna Eades Individual Corporate DirectorBoard Member Jul 31, 2017
Shannon Gerig Individual Corporate OfficerCeo Aug 1, 2019
W-2 Managing EmployeeCeo Aug 1, 2019
Operational/Managerial ControlCeo Aug 1, 2019
John Hayes Individual Corporate DirectorBoard Member Oct 26, 2020
Susie Lorenzen Individual Corporate DirectorBoard Member Aug 31, 2020
Connie Voltura Individual Corporate DirectorBoard Member May 28, 2018
Lydia Hawkins Individual W-2 Managing EmployeeBilling Manager Mar 24, 2019
Becky Vaughan Individual Corporate DirectorBoard Member Feb 27, 2023
William James Billo Individual Corporate DirectorBoard Member Dec 1, 2016
Raul Figueroa Tamayo Individual Corporate DirectorBoard Member May 31, 2021
Brandon Watkins Individual Corporate OfficerCfo Apr 1, 2018
W-2 Managing EmployeeCfo Apr 1, 2018
Operational/Managerial ControlCfo Apr 1, 2018
Edwin Stokes Individual Corporate DirectorBoard Member Nov 30, 2020
Bailey Hunt Individual W-2 Managing Employee Feb 10, 2025
Richard Fuentes Individual Corporate DirectorBoard Member Jan 5, 2011
Charlene Burgi Individual Corporate DirectorBoard Member May 28, 2018

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1730419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1306669031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277",
            "city": "BIEBER",
            "state": "CA",
            "postal_code": "960090277",
            "telephone_number": "530-999-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37092 STATE HIGHWAY 299 E",
            "city": "BURNEY",
            "state": "CA",
            "postal_code": "960134127",
            "telephone_number": "530-999-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VALLEYS HEALTH CENTERS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOUNTAIN VALLEYS HEALTH CENTERS INC",
        "enumeration_date": "2024-11-01",
        "last_updated": "2024-11-01",
        "certification_date": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "WATKINS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-999-0194"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burney Alternative Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burney, CA

Sources for this page

Verify at the official NPI Registry.