NPIMap

Organization Active NPI

Feather River Tribal Health Inc

  • Federally Qualified Health Center (FQHC)
  • Oroville, CA
National Provider Identifier
1629130240
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
FEATHER RIVER TRIBAL HEALTH INC
Practice address
2145 5TH Avenue
Oroville, CA 95965
Phone
(530) 534-3793
Fax
(530) 534-3820
NPI assigned
Dec 14, 2006
Last updated
Sep 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Erik LyonNPI 1407943996
Title
Chief Executive Officer
Phone
(530) 534-5394

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Rural Health Clinic/Center 261QR1300X NU

Addresses

Primary practice location

2145 5TH Avenue
Oroville, CA 95965

Mailing address

2145 5TH Ave
Oroville, CA 95965-5870

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090218000285 CA Part A Provider - Federally Qualified Health Center (FQHC) 4284799628 Practice locations: Oroville, CA
O20110208000574 CA Part B Supplier - Clinic/Group Practice 4284799628 Receives reassigned benefits from 68 practitioners
Practice locations: Oroville, CA; Yuba City, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629130240. Details of each certification follow.

Federally qualified health center certification: CCN 051918

Legal name
FEATHER RIVER TRIBAL HEALTH INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1993
Last certification
Oct 1, 1993
Ownership / control type
Non-profit – other
Organization structure
CorporationNon-profit
Incorporated
Nov 19, 1999 in CA
Enrollment address
2145 5TH Ave
Oroville, CA 95965-5870

Other NPIs with the same Medicare PAC ID 1

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

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Glenda Nelson Individual Operational/Managerial Control Jan 1, 2024
Other Jan 1, 2024
Erik Lyon Individual Corporate Officer Oct 1, 2022

Practitioners & affiliated clinicians

Practitioners 70

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.

View all 70

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1629130240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 5TH AVE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "959655870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 5TH AVENUE",
            "city": "OROVILLE",
            "state": "CA",
            "postal_code": "95965",
            "telephone_number": "530-534-3793",
            "fax_number": "530-534-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEATHER RIVER TRIBAL HEALTH INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "ERIK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "530-534-5394"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oroville, CA

Sources for this page

Verify at the official NPI Registry.