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KARUK TRIBE NPI 1730279423


NPI Information

NPI: 1730279423
Provider Name: KARUK TRIBE

Doing Business As: KARUK TRIBAL HEALTH PROGRAM

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
1519 S OREGON ST
YREKA, CA
ZIP 96097
Phone: (530) 842-9200
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KARUK TRIBE is a general practice in Yreka, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee KARUK TRIBE NPI is 1730279423. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Karuk Tribal Health Program.

The provider's business location address is:

1519 S OREGON ST
YREKA, CA
ZIP 96097-425
Phone: (530) 842-9200
Fax: (530) 842-9207

The provider's authorized official is Russell Attebery .
The authorized official title is Tribal Chairman and has the following contact phone number (530) 493-1600.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 2/8/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
21223G0001XDentistGeneral PracticeNo
3208D00000XGeneral PracticeYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11730279423MEDICAIDCALIFORNIA
21730279423OTHERCALIFORNIAMEDICARE
3ZZZ16552ZOTHERCALIFORNIABLUE SHIELD OF CALIFORNIA

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: 4/28/2024

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