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SHINGLE SPRINGS RANCHERIA NPI 1245356674


NPI Information

NPI: 1245356674
Provider Name: SHINGLE SPRINGS RANCHERIA

Doing Business As: SHINGLE SPRINGS TRIBAL HEALTH PROGRAM

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 05D0901250

Address:
5168 HONPIE RD
PLACERVILLE, CA
ZIP 95667
Phone: (530) 387-4975
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SHINGLE SPRINGS RANCHERIA is a health service clinic center in Placerville, CA. SHINGLE SPRINGS RANCHERIA NPI is 1245356674. The provider is registered as an organization entity type.
The provider Is Doing Business As Shingle Springs Tribal Health Program.

The provider's business location address is:

5168 HONPIE RD
PLACERVILLE, CA
ZIP 95667
Phone: (530) 387-4975
Fax: (530) 672-1965

The provider's authorized official is Joseph Herman .
The authorized official title is Executive Director and has the following contact phone number (530) 306-1908.

The CLIA number assigned to this NPI record is 05D0901250 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/21/2007 and was last updated on 5/13/2019.


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
1261QH0100XClinic/CenterHealth Service03000545CALIFORNIAYes

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: 11/14/2023

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