Sierra Nevada Memorial-Miners Hospital

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

230000152 Issued in CA

Legal business name

SIERRA NEVADA MEMORIAL-MINERS HOSPITAL

Practice address

150 Catherine LN
Grass Valley, CA 95945-5719

Phone

(530) 274-6175

Fax

(530) 274-6234

NPI assigned

Nov 1, 2006

Organization subpart

Yes

Parent organization

SIERRA NEVADA MEMORIAL-MINERS HOSPITALAs reported in NPPES

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

Authorized official

Name

Carolyn Canady

Title

Chief Financial Officer

Phone

(530) 274-6099

Specialties & licenses 1

Addresses

Other identifiers 5

Other names 1

• Sierra Nevada Maternal Health Center Doing business as

Part of

Sierra Nevada Memorial-Miners Hospital

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael D Andya, M.D.

  • Internal Medicine Physician
  • Grass Valley, CA
  • NPI 1760428452
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1720166705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 GLASSON WAY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455723",
            "telephone_number": "530-274-6000",
            "fax_number": "530-274-6234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CATHERINE LN",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455719",
            "telephone_number": "530-274-6175",
            "fax_number": "530-274-6234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA NEVADA MEMORIAL-MINERS HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIERRA NEVADA MEMORIAL-MINERS HOSPITAL",
        "enumeration_date": "2006-11-01",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "CANADY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "530-274-6099"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "CA",
            "license": "230000152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CGP127135",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR00150F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0051930",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZC2905Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40150F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Nevada Maternal Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Sierra Nevada Gastroenterology Medical Associates, Inc.
• Sierra Nevada Memorial-Miners Hospital
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• Sierra Nevada Neuropsychology
• Sierra Nevada Neuropsychology Inc.
• Sierra Nevada Pathology Medical Group
• Sierra Nevada Primary Care

• All providers in Grass Valley, CA
• Community Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.