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TUOLUMNE ME-WUK INDIAN HEALTH CENTER INC. NPI 1124286885


NPI Information

NPI: 1124286885
Provider Name: TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC.

Doing Business As: TUOLUMNE ME-WUK HEALTH AND WELLNESS CENTER

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1033871

Address:
19969 GREENLEY RD
SUITE B,C, & D
SONORA, CA
ZIP 95370
Phone: (209) 532-0028
Get Directions

TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC. is a family medicine in Sonora, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TUOLUMNE ME-WUK INDIAN HEALTH CENTER, INC. NPI is 1124286885. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tuolumne Me-wuk Health And Wellness Center.

The provider's business location address is:

19969 GREENLEY RD
SUITE B,C, & D
SONORA, CA
ZIP 95370-908
Phone: (209) 532-0028
Fax: (209) 532-0031

The provider's authorized official is Janet Peppet .
The authorized official title is Chief Administrative Office and has the following contact phone number (209) 622-0334.

The CLIA number assigned to this NPI record is 05D1033871 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/29/2008 and was last updated on 8/28/2023.


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
1207Q00000XFamily Medicine550000723CALIFORNIAYes

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
1550000723OTHERCALIFORNIASTATE LICENSE NUMBER
21619952397OTHERCALIFORNIAORGANIZATION

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

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.