NPIMap

Organization Active NPI

Eastern Plumas Health Care District

Doing business as Eastern Plumas Health Care

  • Critical Access Hospital
  • Portola, CA
National Provider Identifier
1982600920
Registry record updated Nov 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
051300 Issued in CA
Legal business name
EASTERN PLUMAS HEALTH CARE DISTRICT
Doing business as
Eastern Plumas Health Care
Practice address
500 1St Ave
Portola, CA 96122-9406
Phone
(530) 832-6500
Fax
(530) 832-1105
NPI assigned
Jun 23, 2005
Last updated
Nov 19, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2013

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

Authorized official

Name
Ms. Jerilee Nelson, CPA
Title
Cfo
Phone
(530) 832-6578

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 051300 CA Primary
Critical Access Hospital 282NC0060X 230000014 CA

Addresses

Primary practice location

500 1St Ave
Portola, CA 96122-9406

Mailing address

500 1St Ave
Portola, CA 96122-9406
Phone (530) 832-6500

Other identifiers 2

IdentifierTypeStateIssuer
HSP40566GMedicaidCA
ZZZC3208ZOtherCABLUE SHIELD

Other names 1

  • EASTERN PLUMAS HEALTH CARE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100507000596 CA Part A Provider - Critical Access Hospital 4587576889 Receives reassigned benefits from 32 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Portola, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982600920. Details of each certification follow.

Hospital certification: CCN 051300

Legal name
EASTERN PLUMAS HEALTH CARE DISTRICT
Doing business as
EASTERN PLUMAS HEALTH CARE
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Oct 24, 2000
Last certification
Jul 10, 2025
Beds
9
Ownership / control type
Hospital district or authority
Organization structure
OtherNon-profit
Enrollment address
500 1St Ave
Portola, CA 96122-9406

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 1

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

Care Compare: Hospital

Medicare Care Compare
Listed as
Eastern Plumas Hospital - Portola CampusCCN 051300 · All quality measures
Type
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 7

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

NameRoleSinceShare
Gail McGrath Individual Corporate DirectorBoard Member Apr 1, 2007
Lucie Kreth Individual Corporate DirectorBoard Member May 1, 2007
Harvey West Individual Corporate DirectorDirector Aug 1, 2016
Eastern Plumas Health Care District Organization, Portola, CA Operational/Managerial Control Oct 24, 2000
Paul S Swanson Individual Corporate DirectorVice Chair Jan 1, 2014
Katherine a Pairish Individual Corporate OfficerChief Financial Officer Jul 1, 2018
Operational/Managerial ControlChief Financial Officer Jul 1, 2018
Jay Skutt Individual Corporate DirectorBoard Member Jul 29, 2010

Owners & managing parties with NPI records 8

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 28

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 28

Affiliated clinicians 92

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 92

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384819200000",
    "number": "1982600920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 1ST AVE",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961229406",
            "telephone_number": "530-832-6500",
            "fax_number": "530-832-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 1ST AVE",
            "city": "PORTOLA",
            "state": "CA",
            "postal_code": "961229406",
            "telephone_number": "530-832-6500",
            "fax_number": "530-832-1105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN PLUMAS HEALTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-23",
        "last_updated": "2013-11-19",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "JERILEE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "530-832-6578",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "CA",
            "license": "051300",
            "primary": true
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "CA",
            "license": "230000014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40566G",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZC3208Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EASTERN PLUMAS HEALTH CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portola, CA

Sources for this page

Verify at the official NPI Registry.