Lake County Tribal Health Consortium Inc. in Lakeport - Federally Qualified Health Center (fqhc)
Lake County Tribal Health Consortium Inc. - NPI 1881697381
Lake County Tribal Health Consortium Inc. is a Federally Qualified Health Center (fqhc) in Lakeport, California. Lake County Tribal Health Consortium Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Lake County Tribal Health Consortium Inc. is 1881697381. The last update date is 2011-11-16.
Lake County Tribal Health Consortium Inc.'s current location address is 925 Bevins Ct, Lakeport, California. You can contact this provider via phone number 7072638382 and fax number 7072630329. The mailing address for Lake County Tribal Health Consortium Inc. is 925 Bevins Ct, Lakeport, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake County Tribal Health Consortium Inc. |
|---|---|
| Address | 925 Bevins Ct, Lakeport, California |
| Phone Number | 7072638382 |
| Fax Number | 7072630329 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Padilla Ernesto |
| Telephone Number | 7072638382 |
NPI Number Detail
| NPI Number | 1881697381 |
|---|---|
| Provider Enumeration Date | 2005-05-27 |
| Last Updated Date | 2011-11-16 |
Provider Mailing Address Detail
| Address | 925 Bevins Ct |
|---|---|
| City | Lakeport |
| State | California (CA) |
| Post Code | 9545397540 |
| Phone Number | 7072638382 |
| Fax Number | 7072630329 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 110000289 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| THP70611F | CA | -- |
Post Comment/ Review Below
Could you provide the complete physical address where Lake County Tribal Health Consortium Inc. is located?
The Lake County Tribal Health Consortium Inc. is situated at the following address: 925 Bevins Ct, Lakeport, CA, 9545397540.
On what date did Lake County Tribal Health Consortium Inc. receive its 1881697381 assignment from the Centers for Medicare & Medicaid Services?
The Lake County Tribal Health Consortium Inc. was assigned its 1881697381 on 2005-05-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
On what date did the Centers for Medicare & Medicaid Services assign the 1881697381 to Lake County Tribal Health Consortium Inc.?
The Centers for Medicare & Medicaid Services assigned the 1881697381 to Lake County Tribal Health Consortium Inc. on 2005-05-27.
When was the information related to Lake County Tribal Health Consortium Inc. most recently updated or refreshed?
The details pertaining to the Lake County Tribal Health Consortium Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2011-11-16.
As of what date was the information regarding Lake County Tribal Health Consortium Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lake County Tribal Health Consortium Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-16.
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