Healthcare Provider Details

I. General information

NPI: 1750466348
Provider Name (Legal Business Name): COUNTY OF PLUMAS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 04/11/2024
Certification Date: 04/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

270 COUNTY HOSPITAL RD #109
QUINCY CA
95971-9126
US

IV. Provider business mailing address

270 COUNTY HOSPITAL RD #109
QUINCY CA
95971-9126
US

V. Phone/Fax

Practice location:
  • Phone: 530-283-6307
  • Fax: 530-283-6045
Mailing address:
  • Phone: 530-283-6307
  • Fax: 530-283-6045

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code167G00000X
TaxonomyLicensed Psychiatric Technician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: MRS. JESSICA R MCGILL
Title or Position: QUALITY ASSURANCE AND COMPLIANCE
Credential:
Phone: 530-297-8655