PM
Medical Clinic
PORTOLA MEDICAL/DENTAL CLINIC RHC
480 1ST AVE, PORTOLA, CA 96122
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- 058522
- LTC
- NON-LTC
- NPI
- 1114923919
- ZIP
- 96122
- id
- 3177
- CITY
- PORTOLA
- FLAG
- Not reported
- ZIP9
- 9405
- rank
- 0.0706241
- AO CD
- Not reported
- FACID
- 230000593
- DEEMED
- 0
- T18 19
- Not reported
- ADDRESS
- 480 1ST AVE
- AO NAME
- Not reported
- FACNAME
- PORTOLA MEDICAL/DENTAL CLINIC RHC
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- Not reported
- CAPACITY
- 0
- LATITUDE
- 39.805731
- LOCATION
- (-120.463911,39.805731)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- N
- LONGITUDE
- -120.463911
- CCLHO CODE
- 32
- CCLHO NAME
- PLUMAS
- START DATE
- 09JUL2001
- TRAUMA CTR
- Not reported
- ASPEN FACID
- CA230000593
- COUNTY CODE
- 420
- COUNTY NAME
- PLUMAS
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- 230000004
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- 2015-11-16T00:00:00
- BUSINESS NAME
- EASTERN PLUMAS HEALTH CARE DISTRICT
- DISTRICT NAME
- CHICO
- FAC TYPE CODE
- RHC/OP
- LICENSE NUMBER
- 230000014
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 23
- FIPS COUNTY CODE
- 6063
- LICENSED CERTIFIED
- LICENSED AND CERTIFIED
- PARTICIPATION DATE
- 1995-12-04T00:00:00
- CONTACT PHONE NUMBER
- (530) 832-4211
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 1971-08-16T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- Y
- LICENSE EFFECTIVE DATE
- 2025-11-01T00:00:00
- ENTITY TYPE DESCRIPTION
- HEALTH CARE DISTRICT
- LICENSE EXPIRATION DATE
- 2026-10-31T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- Y
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- OTHER CERTIFIABLE PART
COMMUNITY EXPERIENCE
Reviews of PORTOLA MEDICAL/DENTAL CLINIC RHC
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