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Mt Shasta Medi-Cal Clinic, Inc

Rural Health Clinic/Center in Mount Shasta, CA · enumerated 2006 · authorized official Chris Bayless, Executive Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1679514483

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Registry record

Entity type Organization (Type 2)
Legal business name Mt Shasta Medi-Cal Clinic, Inc
Other name <Unavail>
Practice address 912 Pine St, Mount Shasta, CA, 96067
Phone (530) 926-5105
Fax (530) 926-1359
Enumeration date Jun 10, 2006
Last updated in NPPES Aug 4, 2009

Taxonomy & classification

261QR1300X Rural Health Clinic/Center Ambulatory Health Care Facilities · License 230000075 (CA) Primary

Authorized official

Name Chris Bayless
Title Executive Director
Phone (530) 926-5105

Other identifiers

Identifier Type State Issuer
EAP53856F Other CA EAP
RHM53856F Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Mt Shasta Medi-Cal Clinic, Inc?
NPPES lists Chris Bayless (Executive Director) as the authorized official for this organization.
What is the NPI number for Mt Shasta Medi-Cal Clinic, Inc?
The NPI for Mt Shasta Medi-Cal Clinic, Inc is 1679514483, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-08-04.