Healthcare Provider Details

I. General information

NPI: 1063337244
Provider Name (Legal Business Name): PLUMAS DISTRICT HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1018 VALLEY VIEW DR
QUINCY CA
95971-9623
US

IV. Provider business mailing address

1018 VALLEY VIEW DR
QUINCY CA
95971-9623
US

V. Phone/Fax

Practice location:
  • Phone: 530-283-2121
  • Fax: 530-283-7953
Mailing address:
  • Phone: 530-283-2121
  • Fax: 530-283-7953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QB0400X
TaxonomyBirthing Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CALEB IAN JOHNSON
Title or Position: CFO
Credential:
Phone: 530-283-7952