I'Sot Inc
Organization Active NPI Rural Health Clinic/Center · Canby, CA
NPI 1528063153 · NPPES record last updated Sep 17, 2012
Key facts
- NPI
- 1528063153
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- License
- 230000116 (CA)
- Legal business name
- I'SOT INC
- Practice address
- 670 County Road 83
Canby, CA 96015-9722 - Phone
- (530) 233-4641
- Fax
- (530) 233-4140
- NPI assigned
- Jun 20, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Greta J Elliott
- Title
- Administrator
- Phone
- (530) 233-4641
Change of ownership 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Change-of-ownership history
| Date | Event | Counterparty |
|---|---|---|
| Jul 1, 2020 | Change of Ownership |
Canby Family Practice Clinic |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | 230000116 | CA | Yes |
Addresses
Primary practice location
670 County Road 83
Canby, CA 96015-9722
Mailing address
670 County Road 83
Canby, CA 96015-9722
Phone (530) 233-4641
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RHM03888F | Medicaid | CA | |
| ZZZ21128Z | Other | CA | MEDICARE PART B |
Other names
- Canby Family Practice Clinic
Other providers in Canby, CA
- Lorna K Boland
- Susan Adele Burger
- Joey Chou-Yie Chen
- Mickey Cole
- Virginia L Hassler
- Lake Health District
- Last Frontier Healthcare District
- Raymond P Mandel
- Wendy Marie Richardson
All providers in Canby, CA · Rural Health Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2012. 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.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.