SOUTHERN INDIAN HEALTH COUNCIL INC NPI 1922090885

NPI Information

NPI: 1922090885
Provider Name: SOUTHERN INDIAN HEALTH COUNCIL INC
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
36350 CHURCH ROAD
CAMPO, CA
ZIP 91906
Phone: (619) 445-1188
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SOUTHERN INDIAN HEALTH COUNCIL INC is a health service clinic center in Campo, CA. SOUTHERN INDIAN HEALTH COUNCIL INC NPI is 1922090885. The provider is registered as an organization entity type.

The provider's business location address is:

36350 CHURCH ROAD
CAMPO, CA
ZIP 91906-715
Phone: (619) 445-1188
Fax: (619) 659-3140

The provider's authorized official is Terrance A King .
The authorized official title is Cfo and has the following contact phone number (619) 445-1188.

The enumeration date for this NPI number is 8/17/2005 and was last updated on 10/4/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	THP80243F	MEDICAID	CALIFORNIA
2	051905	MEDICARE OSCAR/CERTIFICATION	CALIFORNIA

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

NPI Synchronization or Removal

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