MCCLOUD HEALTHCARE CLINIC, INC. — NPI 1003372624 (Licensed & Credentialed Radiologic Technologist, Bone Densitometry in MOUNT SHASTA, CA)

CMS-1500 Box 24J / 33a • NPI

1003372624

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

2471B0102X

Licensed & Credentialed Radiologic Technologist, Bone Densitometry

Box 32 Service Location & ZIP+4

828 PINE ST, MOUNT SHASTA, CA, 96067-2137

✓ 9-Digit EDI 837 ZIP+4 (96067-2137)

Practice Phone & Referral Fax

(530) 926-4528

Direct NPPES Verification Line

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1003372624 (MCCLOUD HEALTHCARE CLINIC, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1003372624` (NPI-2 Organization / Facility)
Provider / Legal Name	MCCLOUD HEALTHCARE CLINIC, INC.
Plain-English Specialty	Licensed & Credentialed Radiologic Technologist, Bone Densitometry NUCC Code: `2471B0102X` (Radiologic Technologist, Bone Densitometry)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	828 PINE ST, MOUNT SHASTA, CA, 96067-2137
Practice Telephone / Fax	Tel: (530) 926-4528
Administrative Mailing Address	PO BOX 1143, MCCLOUD, CA, 96057-1143
Enumeration & Last Sync	Enumerated: 2019-02-19 \| CMS Record Updated: 2019-02-19
Authorized Official	JAMES PROFFITT (CEO)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

828 PINE ST, MOUNT SHASTA, CA, 96067-2137

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Plain-English Taxonomy & CMS Crosswalk (2471B0102X)

What Does Taxonomy Code 2471B0102X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 2471B0102X translates to:
"Licensed & Credentialed Radiologic Technologist, Bone Densitometry"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Radiologic Technologist, Bone Densitometry for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (MCCLOUD HEALTHCARE CLINIC, INC.)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`2471B0102X` — Radiologic Technologist, Bone Densitometry Plain English: Licensed & Credentialed Radiologic Technologist, Bone Densitometry	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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MCCLOUD HEALTHCARE CLINIC, INC. (NPI #1003372624)