KARUK TRIBE NPI 1952483406

NPI Information

KARUK TRIBE is a general practice in Happy Camp, 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 1952483406. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Karuk Community Health Clinic.

The provider's business location address is:

64236 SECOND AVE
HAPPY CAMP, CA
ZIP 96039-016
Phone: (530) 493-5257
Fax: (530) 493-5270

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 CLIA number assigned to this NPI record is 05D0618371 - other - indian hlth clnc karuk tr with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/20/2006 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:

Other Identifiers

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

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