Colusa Indian Health Clinic

NPI 1144582925 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1144582925
Enumeration Date 06/08/2012
Last Updated 06/08/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MARK MARK
Position DIRECTOR OF CLINIC OPERATIONS
Phone (530) 458-5501
Fax (530) 458-8660
Practice Location
3710 HIGHWAY 45
COLUSA CA, 95932-4026, US
Phone (530) 458-5501
Fax (530) 458-8660
Business Location
3710 HIGHWAY 45
COLUSA CA, 95932-4026, US
Phone (530) 458-5501
Fax (530) 458-8660
Toxanomy
Taxonomy Code 363LF0000X
License State California
License Number 021859
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According to our database, Colusa Indian Health Clinic NPI is 1144582925, taxonomy code is 363LF0000X and license number is 021859, license state is located at California. Colusa Indian Health Clinic physically located at 3710 Highway 45, Colusa CA, 95932-4026. NPI Number 1033115704 has the healthcare provider type.

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1144582925 NPI number is provided on an as is basis without warranty of any kind. 1144582925 is maintained by the National Plan & Provider Enumeration System. The contents of Colusa Indian Health Clinic are for informational purposes only.