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TUOLUMNE MEWUK INDIAN HEALTH CENTER INC NPI 1619952397


NPI Information

NPI: 1619952397
Provider Name: TUOLUMNE MEWUK INDIAN HEALTH CENTER, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
18880 CHERRY VALLEY BLVD
TUOLUMNE, CA
ZIP 95379
Phone: (209) 928-5450
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TUOLUMNE MEWUK INDIAN HEALTH CENTER, INC is a family medicine in Tuolumne, 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 MEWUK INDIAN HEALTH CENTER, INC NPI is 1619952397. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18880 CHERRY VALLEY BLVD
TUOLUMNE, CA
ZIP 95379-612
Phone: (209) 928-5450
Fax: (209) 928-5414

The provider's authorized official is Christopher Gorsky .
The authorized official title is Chief Financial Officer and has the following contact phone number (209) 928-5450.

The enumeration date for this NPI number is 12/14/2005 and was last updated on 10/8/2010.


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
1208000000XPediatricsA53764CALIFORNIANo
2363LF0000XNurse PractitionerFamilyNP14383CALIFORNIANo
3103TC1900XPsychologistCounselingPSY18496CALIFORNIANo
4363A00000XPhysician AssistantPA15883CALIFORNIANo
52084P0800XPsychiatry & NeurologyPsychiatryA62628CALIFORNIANo
6207Q00000XFamily MedicineG73139CALIFORNIANo
7207Q00000XFamily Medicine20A7824CALIFORNIANo
8207Q00000XFamily MedicineG32948CALIFORNIANo
9207Q00000XFamily MedicineG50654CALIFORNIAYes

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
1F78341MEDICARE UPIN
2OPL184961MEDICARE UPIN
3A51764MEDICARE UPIN
4G60958MEDICARE UPINCALIFORNIA
5P37404MEDICARE UPINCALIFORNIA
6P52048MEDICARE UPIN
7Q42494MEDICARE UPINCALIFORNIA
8A45357MEDICARE UPIN
9H29538MEDICARE UPIN

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

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.