CONSOLIDATED TRIBAL HEALTH PROJECT INC NPI 1902913486

NPI Information

NPI: 1902913486
Provider Name: CONSOLIDATED TRIBAL HEALTH PROJECT, INC
Classification: Clinic/Center - 261QC1500X
Entity Type: Organization

Specialization: Community Health

Address:
6991 N STATE ST
REDWOOD VALLEY, CA
ZIP 95470
Phone: (707) 485-5115
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CONSOLIDATED TRIBAL HEALTH PROJECT, INC is a community health clinic center in Redwood Valley, CA. CONSOLIDATED TRIBAL HEALTH PROJECT, INC NPI is 1902913486. The provider is registered as an organization entity type.

The provider's business location address is:

6991 N STATE ST
REDWOOD VALLEY, CA
ZIP 95470-629
Phone: (707) 485-5115
Fax: (707) 485-7837

The provider's authorized official is George Provencher .
The authorized official title is Executive Director and has the following contact phone number (707) 485-5115.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 8/22/2020.

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
1	261QC1500X	Clinic/Center	Community Health	44306	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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