Sierra Nevada Memorial-Miners Hospital

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

230000138 Issued in CA

Legal business name

SIERRA NEVADA MEMORIAL-MINERS HOSPITAL

Practice address

1155 E Main St
Grass Valley, CA 95945-5723

Phone

(530) 274-6350

Fax

(530) 274-6747

NPI assigned

Jun 9, 2005

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 Financail Officer

Phone

(530) 274-6099

Specialties & licenses 1

Addresses

Other identifiers 8

Other names 1

• Sierra Nevada Home Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Sierra Nevada Memorial-Miners Hospital

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1841294782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956",
            "telephone_number": "530-274-6350",
            "fax_number": "530-274-6747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 E MAIN ST",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455723",
            "telephone_number": "530-274-6350",
            "fax_number": "530-274-6747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA NEVADA MEMORIAL-MINERS HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SIERRA NEVADA MEMORIAL-MINERS HOSPITAL",
        "enumeration_date": "2005-06-09",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "CANADY",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "CHIEF FINANCAIL OFFICER",
        "authorized_official_telephone_number": "530-274-6099"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "230000138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "057755-001",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "5720703",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS TRICARE",
            "identifier": "680106483959490047",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALTA",
            "identifier": "HA0006",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA07755F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CA",
            "identifier": "ZZZ14789Z",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4509",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "=========",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Nevada Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sierra Nevada Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• Home Health Agency in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.