Provider Demographics
NPI:1184697864
Name:INDIAN VALLEY HEALTH CARE DISTRICT
Entity type:Organization
Organization Name:INDIAN VALLEY HEALTH CARE DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-284-7191
Mailing Address - Street 1:184 HOT SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95947-9747
Mailing Address - Country:US
Mailing Address - Phone:530-284-7191
Mailing Address - Fax:530-284-6696
Practice Address - Street 1:184 HOT SPRINGS RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:CA
Practice Address - Zip Code:95947-9747
Practice Address - Country:US
Practice Address - Phone:530-284-7191
Practice Address - Fax:530-284-6696
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA282NR1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NR1301XHospitalsGeneral Acute Care HospitalRural
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA050433OtherBLUE CROSS
CAZZR00433FMedicaid
CAZZZC3209ZOtherBLUE SHIELD - HOSP PROV#
CAZZZ92740ZOtherBLUE SHIELD - PRO FEES
CAHSP40433FMedicaid
CA053998OtherBLUE CROSS
CARHM03998FMedicaid
CALTC06232FMedicaid
CAHSP40433FMedicaid
CA050433OtherBLUE CROSS
CAHSP40433FMedicaid
CAZZZC3209ZOtherBLUE SHIELD - HOSP PROV#