Lassen Indian Health Center

NPI 1275539793 - Clinic/Center - 261Q00000X

NPI Details
NPI 1275539793
Enumeration Date 06/21/2005
Last Updated 12/31/2009
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name DEBRA DEBRA
Position CLINIC MANAGER
Phone (530) 257-2542
Fax (530) 251-5208
Practice Location
795 JOAQUIN ST
SUSANVILLE CA, 96130-3628, US
Phone (530) 257-2542
Fax (530) 251-5208
Business Location
795 JOAQUIN ST
SUSANVILLE CA, 96130, US
Phone (530) 257-2542
Fax (530) 251-5208
Toxanomy
Taxonomy Code 261Q00000X
License State California
License Number RN300870
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According to our database, Lassen Indian Health Center NPI is 1275539793, taxonomy code is 261Q00000X and license number is RN300870, license state is located at California. Lassen Indian Health Center physically located at 795 Joaquin St, Susanville CA, 96130-3628. NPI Number 1033115704 has the healthcare provider type.

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1275539793 NPI number is provided on an as is basis without warranty of any kind. 1275539793 is maintained by the National Plan & Provider Enumeration System. The contents of Lassen Indian Health Center are for informational purposes only.