NPIMap

Organization Active NPI

Northern Valley Indian Health, Inc

  • Clinic/Center
  • Chico, CA
National Provider Identifier
1740634286
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
NORTHERN VALLEY INDIAN HEALTH, INC
Practice address
500 Cohasset Rd Ste 15
Chico, CA 95926-2260
Phone
(530) 433-2500
Fax
(530) 433-2510
NPI assigned
Apr 21, 2016
Last updated
Apr 22, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Authorized official

Name
Theresa Cameron
Title
Account Services Manager
Phone
(530) 330-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

500 Cohasset Rd Ste 15
Chico, CA 95926-2260

Mailing address

207 N Butte St
Willows, CA 95988-2803
Phone (530) 330-8800

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140429000114 TX Part B Supplier - Clinic/Group Practice 1557493723 Receives reassigned benefits from 102 practitioners
4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chico, CA; Willows, CA
O20180515000023 CA Part A Provider - Indian Health Services Facility 1557493723 Practice locations: Chico, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740634286. Details of each certification follow.

  • CCN 921065 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 921065

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
NORTHERN VALLEY INDIAN HEALTH, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
May 15, 2018
Last certification
May 15, 2018
Ownership / control type
For profit – corporation
Facility address
500 Cohasset Road, Suite 15
Chico, CA 95926

Other NPIs with the same Medicare PAC ID 4

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

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Northern Valley Indian Health Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Northern Valley Indian Health IncWillows, CA, CCN 051924 Federally qualified health center Operational/Managerial Control Oct 1, 1991

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 17

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 17

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461283200000",
    "number": "1740634286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 N BUTTE ST",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882803",
            "telephone_number": "530-330-8800",
            "fax_number": "530-934-3285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 COHASSET RD STE 15",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262260",
            "telephone_number": "530-433-2500",
            "fax_number": "530-433-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN VALLEY INDIAN HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-22",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "ACCOUNT SERVICES MANAGER",
        "authorized_official_telephone_number": "530-330-8800"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chico, CA

Sources for this page

Verify at the official NPI Registry.