Healthcare Provider Details

I. General information

NPI: 1760231799
Provider Name (Legal Business Name): PLUMAS DISTRICT HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2024
Last Update Date: 05/13/2024
Certification Date: 05/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1065 BUCKS LAKE RD
QUINCY CA
95971-9599
US

IV. Provider business mailing address

1065 BUCKS LAKE RD
QUINCY CA
95971-9599
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

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