Provider Type Icon

SOUTHERN INDIAN HEALTH COUNCIL INC NPI 1417026758


NPI Information

NPI: 1417026758
Provider Name: SOUTHERN INDIAN HEALTH COUNCIL INC

Doing Business As: SOUTHERN INDIAN HEALTH COUNCIL

Classification: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy - 332800000X
Entity Type: Organization
Address:
36350 CHURCH RD
CAMPO, CA
ZIP 91906
Phone: (619) 478-2225
Get Directions

SOUTHERN INDIAN HEALTH COUNCIL INC is an indian health service tribal urban indian health i t u pharmacy in Campo, CA. The provider is an Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. SOUTHERN INDIAN HEALTH COUNCIL INC NPI is 1417026758. The provider is registered as an organization entity type.
The provider Is Doing Business As Southern Indian Health Council.

The provider's business location address is:

36350 CHURCH RD
CAMPO, CA
ZIP 91906-715
Phone: (619) 478-2225
Fax: (619) 478-2323

The provider's authorized official is Dean Garcia .
The authorized official title is Pic and has the following contact phone number (619) 445-1188.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 10/4/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1333600000XPharmacyNo
2332800000XIndian Health Service/Tribal/Urban Indian Health (I/T/U) PharmacyPHE43448CALIFORNIAYes
33336C0003XPharmacyCommunity/Retail PharmacyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1PHA434480MEDICAIDCALIFORNIA
22113505OTHERPK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.