Mt Shasta Medi-Cal Clinic, Inc
NPI 1679514483 · Rural Health Clinic/Center · Mount Shasta, CA
Mt Shasta Medi-Cal Clinic, Inc is a Rural Health Clinic/Center organization in Mount Shasta, CA (NPI 1679514483).
Provider details
- NPI number
- 1679514483
- Entity type
- Organization
- Primary specialty
- Rural Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Chris Bayless, Executive Director(530) 926-5105
- License
- 230000075 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Mailing address
Other names (DBA / former)
- Doing business as
- Alpine Healthcare
Registry dates
- Enumerated
- 2006-06-10
- Last updated
- 2009-08-04
Frequently asked questions
- What is Mt Shasta Medi-Cal Clinic, Inc's NPI number?
- Mt Shasta Medi-Cal Clinic, Inc's National Provider Identifier (NPI) is 1679514483, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mt Shasta Medi-Cal Clinic, Inc?
- Mt Shasta Medi-Cal Clinic, Inc is classified in the NPPES registry as Rural Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mt Shasta Medi-Cal Clinic, Inc located?
- Mt Shasta Medi-Cal Clinic, Inc's practice location on file with NPPES is 912 Pine St, Mount Shasta, CA 96067-2143.
- What is Mt Shasta Medi-Cal Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Mt Shasta Medi-Cal Clinic, Inc is (530) 926-5105.
- Who is the authorized official for Mt Shasta Medi-Cal Clinic, Inc?
- The authorized official listed on Mt Shasta Medi-Cal Clinic, Inc's NPPES record is Chris Bayless, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mt Shasta Medi-Cal Clinic, Inc's NPI active?
- Yes — Mt Shasta Medi-Cal Clinic, Inc's NPI (1679514483) is active in the NPPES registry as of the last update on 2009-08-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.