LAKE COUNTY TRIBAL HEALTH MIDDLETOWN CLINIC NPI 1982418430

NPI Information

  • NPI: 1982418430
  • Provider Name: LAKE COUNTY TRIBAL HEALTH MIDDLETOWN CLINIC
  • Classification: Clinic/Center - 261QF0400X
  • Specialization: Federally Qualified Health Center (FQHC)
  • Entity Type: Organization
  • Address: 22223 CA-29
    RANCHERIA ROAD, TRIBAL OFFICES #1035
    MIDDLETOWN, CA
    ZIP 95461
  • Phone: (707) 263-8382

Map and Directions

Get Directions

NPI Details

LAKE COUNTY TRIBAL HEALTH MIDDLETOWN CLINIC is a federally qualified health center (fqhc) clinic center in Middletown, CA. LAKE COUNTY TRIBAL HEALTH MIDDLETOWN CLINIC NPI is 1982418430. The provider is registered as an organization entity type.

The provider's business location address is:

22223 CA-29
RANCHERIA ROAD, TRIBAL OFFICES #1035
MIDDLETOWN, CA
ZIP 95461
Phone: (707) 263-8382

The provider's authorized official is Thomas Burnett .
The authorized official title is Ehr Specialist and has the following contact phone number (707) 263-8382.

The enumeration date for this NPI number is 2/5/2025 and was last updated on 2/5/2025.

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)Yes

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: 3/30/2025

NPI Synchronization or Removal

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.