OrganizationActive
Mathiesen Memorial Health Clinic
NPI 1255595484 · Federally Qualified Health Center (FQHC) · Jamestown, CA
Provider details
- NPI number
- 1255595484
- Entity type
- Organization
- Primary specialty
- Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacqueline Kiss, Credentialing(254) 760-0228
Specialties & taxonomies
Ambulatory Health Care Facilities
- Multi-Specialty Clinic/Center261QM1300X
Ambulatory Health Care Facilities
- Primary Care Clinic/Center261QP2300X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(96/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18144 Seco St
Jamestown, CA 95327-9737
Phone: (209) 984-4820
Fax: (209) 984-4825
Street-level locationGet directions
Mailing address
Po Box 535
Jamestown, CA 95327-0535
Additional practice locations (3)
- 18268 Main StJamestown, CA 95327-9256Phone: (209) 984-4820
- 18232 Smoke StJamestown, CA 95327-9218Phone: (209) 984-4820
- 18158 Main StJamestown, CA 95327-9254Phone: (209) 984-4820
Registry dates
- Enumerated
- 2008-07-16
- Last updated
- 2023-07-25
- Certified
- 2023-07-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.