Active NPI
Scott Valley Respiratory Home Care Inc
- Community/Retail Pharmacy
- Yreka, CA
National Provider Identifier
1336369164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- SCOTT VALLEY RESPIRATORY HOME CARE INC
- Practice address
- 1714 South Oregon Street
Yreka, CA 96097-3443 - Phone
- (530) 841-3000
- NPI assigned
- Apr 26, 2007
- 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 |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary |
Addresses
Primary practice location
1714 South Oregon Street
Yreka, CA 96097-3443
Mailing address
1714 South Oregon Street
Yreka, CA 96097-3443
Phone (530) 841-3000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DME00952H | Other | CA | MEDI-CAL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930052872 | CA | DME Supplier - Medical Supply Company | 9830218148 | Practice locations: Yreka, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Scott Valley Respiratory Home Care | Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Hospital Beds (Electric)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|Canes and/or Crutches|Patient Lifts|Power Operated Vehicles (Scooters)|Seat Lift Mechanisms|Walkers|Wheelchairs (Standard Manual)|Wheelchairs (Standard Manu… | Does not accept assignment |
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.
-
- Durable Medical Equipment & Medical Supplies
- Yreka, CA
- NPI 1265515332
Locations
1714 S Oregon St
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": "1177545600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1336369164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1714 SOUTH OREGON STREET",
"city": "YREKA",
"state": "CA",
"postal_code": "960973443",
"telephone_number": "530-841-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1714 SOUTH OREGON STREET",
"city": "YREKA",
"state": "CA",
"postal_code": "960973443",
"telephone_number": "530-841-3000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SCOTT VALLEY RESPIRATORY HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-26",
"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": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.