COLUSA MEDICAL CENTER, LLC — NPI 1689189110 (Licensed & Credentialed Agencies — Hospice Care, Community Based in COLUSA, CA)

CMS-1500 Box 24J / 33a • NPI

1689189110

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

251G00000X (CMS B4[14])

Licensed & Credentialed Agencies — Hospice Care, Community Based

Box 32 Service Location & ZIP+4

199 E WEBSTER ST, COLUSA, CA, 95932-2954

✓ 9-Digit EDI 837 ZIP+4 (95932-2954)

Practice Phone & Referral Fax

(530) 619-0800

Fax: (530) 619-0897

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1689189110 (COLUSA MEDICAL CENTER, LLC) 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	`1689189110` (NPI-2 Organization / Facility)
Provider / Legal Name	COLUSA MEDICAL CENTER, LLC
Plain-English Specialty	Licensed & Credentialed Agencies — Hospice Care, Community Based NUCC Code: `251G00000X` (Hospice Care, Community Based)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	199 E WEBSTER ST, COLUSA, CA, 95932-2954
Practice Telephone / Fax	Tel: (530) 619-0800 \| Fax: (530) 619-0897
Administrative Mailing Address	700 17TH ST STE 201D, MODESTO, CA, 95354-1249
Enumeration & Last Sync	Enumerated: 2017-12-06 \| CMS Record Updated: 2020-01-28
Authorized Official	TAMMY THOMPSON (VP Finance)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

199 E WEBSTER ST, COLUSA, CA, 95932-2954

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Plain-English Taxonomy & CMS Crosswalk (251G00000X)

What Does Taxonomy Code 251G00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251G00000X translates to:
"Licensed & Credentialed Agencies — Hospice Care, Community Based"

CMS-1500 Medicare Specialty Crosswalk: CMS Code B4[14] (Hospice)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Hospice Care, Community Based for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (COLUSA MEDICAL CENTER, LLC)

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
`251F00000X` — Home Infusion Plain English: Licensed & Credentialed Home Infusion	State: N/A \| License: `Verified` \| Primary: Secondary
`251E00000X` — Home Health Plain English: CMS-Certified Home Health Care & Skilled Nursing Agency	State: N/A \| License: `Verified` \| Primary: Secondary
`315D00000X` — Hospice, Inpatient Plain English: Licensed & Credentialed Nursing & Custodial Care Facilities — Hospice, Inpatient	State: N/A \| License: `Verified` \| Primary: Secondary
`251G00000X` — Hospice Care, Community Based Plain English: Licensed & Credentialed Agencies — Hospice Care, Community Based	State: N/A \| License: `Verified` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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COLUSA MEDICAL CENTER, LLC (NPI #1689189110)