NPIMap

Organization Active NPI

McCloud Healthcare Clinic, Inc.

Doing business as Shasta Cascade Health Centers- Mt Shasta 822 Pine

  • Federally Qualified Health Center (FQHC)
  • Mount Shasta, CA
National Provider Identifier
1386503779
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
MCCLOUD HEALTHCARE CLINIC, INC.
Doing business as
Shasta Cascade Health Centers- Mt Shasta 822 Pine
Practice address
822 Pine St
Mount Shasta, CA 96067-2137
Phone
(530) 926-6309
Fax
(530) 926-5070
NPI assigned
Jan 20, 2026
Last updated
Jan 20, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
MCCLOUD HEALTHCARE CLINIC, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Caleb Ott
Title
Ceo
Phone
(530) 926-6309

Specialties & licenses 1

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

Addresses

Primary practice location

822 Pine St
Mount Shasta, CA 96067-2137

Mailing address

PO Box 1143
McCloud, CA 96057-1143
Phone (530) 926-6309

Other names 1

  • Shasta Cascade Health Centers- Mt Shasta 822 Pine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Urology Clinic5 organizations share this tax ID, including this one
Part of
Urology Clinic

Other organizations with this tax ID 4

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

NPI Registry JSON

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

{
    "created_epoch": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1386503779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1143",
            "city": "MCCLOUD",
            "state": "CA",
            "postal_code": "960571143",
            "telephone_number": "530-926-6309",
            "fax_number": "530-926-5070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 PINE ST",
            "city": "MOUNT SHASTA",
            "state": "CA",
            "postal_code": "960672137",
            "telephone_number": "530-926-6309",
            "fax_number": "530-926-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCLOUD HEALTHCARE CLINIC, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MCCLOUD HEALTHCARE CLINIC, INC.",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "CALEB",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-926-6309"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shasta Cascade Health Centers- Mt Shasta 822 Pine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mount Shasta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.