COLUSA INDIAN COMMUNITY COUNCIL NPI 1790778660

NPI Information

  • NPI: 1790778660
  • Provider Name: COLUSA INDIAN COMMUNITY COUNCIL
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Other Name: COLUSA INDIAN COMMUNITY COUNCIL
  • Address: 3710 HIGHWAY 45
    COLUSA, CA
    ZIP 95932
  • Phone: (530) 458-5501

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NPI Details

COLUSA INDIAN COMMUNITY COUNCIL is a federally qualified health center (fqhc) clinic center in Colusa, CA. COLUSA INDIAN COMMUNITY COUNCIL NPI is 1790778660. The provider is registered as an organization entity type.
The provider Other Name Is Colusa Indian Community Council.

The provider's business location address is:

3710 HIGHWAY 45
COLUSA, CA
ZIP 95932
Phone: (530) 458-5501
Fax: (530) 458-8660

The provider's authorized official is Catrina Marie Ross .
The authorized official title is Director Of Clinic Operations and has the following contact phone number (530) 458-6542.

The enumeration date for this NPI number is 8/25/2005 and was last updated on 6/16/2018.

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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)CALIFORNIAYes

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This page was last updated on: 11/21/2025

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