Indian Health Council, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Santa Ysabel, CA. Organization (NPI-2).
NPI number1043396005
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1043396005
- Entity type
- Organization (NPI-2)
- Legal business name
- Indian Health Council, INC.
- Organization subpart
- No
- Enumeration date
- Oct 31, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Practice location
110 1/2 School House Canyon RoadSanta Ysabel, CA 92070
Phone 760-765-4203
Mailing address
P O Box 406Pauma Valley, CA 92061
Phone 760-749-1410 · Fax 760-749-4239
Authorized official
Beth Turner
Patient Management Director
7607491410
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