| NPI | 1255609699 |
|---|---|
| Doing Business As | MERCY LAKE SHASTINA COMMUNITY CLINIC |
| Entity Type | Organization |
| Authorized Contact | KIM MIRANDA Chief Financial Officer 530-225-6121 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2016-10-31 |