COLUSA INDIAN COMMUNITY COUNCIL (NPI# 1053880245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053880245 |
Entity Type | Organization |
Organization Name | COLUSA INDIAN COMMUNITY COUNCIL |
Practice Address |
360 5th St Colusa CA 95932-2467 |
Mailing Address |
3710 Highway 45 Colusa CA 95932-4026 |
Practice Telephone | 5304583614 |
Practice Fax Number | 5304584047 |
Mailing Telephone | 5304586542 |
Mailing Fax Number | 5304588660 |
Enumeration Date | 2018-11-16 |
Last Update Date | 2018-11-16 |
Authorized Official Name | CATRINA MARIE ROSS (DIRECTOR OF CLINIC OPERATIONS) |
Authorized Official Telephone | 5304586542 |
Is Organization Subpart | Y |
Parent Organization Name | COLUSA INDIAN COMMUNITY COUNCIL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Colusa Indian Dental Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790778660 | Colusa Indian Community Council | Clinic/Center | 3710 Highway 45, Colusa, CA 95932 | 2005-08-25 |
1245709435 | Colusa Indian Community Council | Clinic/Center | 516 Jay St, Colusa, CA 95932-2436 | 2018-11-16 |
1285036533 | Colusa Indian Community Council | Clinic/Center | 3710 Highway 45, Colusa, CA 95932-4026 | 2014-09-18 |
Street Address |
360 5TH ST |
City | COLUSA |
State | CA |
Zip Code | 95932-2467 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952518821 | Thomas E Gibson | Dentist | 360 5th St, Suite A, Colusa, CA 95932-2413 | 2007-05-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366934218 | Austin James Chase | Social Worker | 162 E. Carson St, Colusa, CA 95932 | 2018-06-05 |
1801253018 | Daniel Hernandez Jr. | Counselor | 160 E. Carson St., Colusa, CA 95932 | 2016-01-19 |
1689834905 | Lisa S Dropp | General Practice | 555 Fremont Street, Colusa, CA 95932 | 2008-06-10 |
1023220167 | Daniel Joseph Mcclough | Physician Assistant | 501 E Street, Williams, CA 95932 | 2007-05-03 |
1811098809 | Tulsi Manish Parikh | Physical Therapist | 199 E Webster Street, Colusa, CA 95932 | 2006-09-25 |
1972601417 | Clay M Gidel | Dentist | 3000 Davison Court, Colusa, CA 95932 | 2006-09-20 |
1316992068 | Lawrence M Highman | Surgery | 155 E Webster St, Colusa, CA 95932 | 2006-05-23 |
1144215427 | Colusa Regional Medical Center | General Acute Care Hospital | 199 E. Webster Street, Colusa, CA 95932 | 2005-09-13 |
1790778660 | Colusa Indian Community Council | Clinic/Center | 3710 Highway 45, Colusa, CA 95932 | 2005-08-25 |
1265940894 | California Specialty Hosptial North | General Acute Care Hospital | 199 E Webster St, Colusa, CA 95932 | 2018-01-17 |
Find all providers in zip 95932 |
Taxonomy Code | 261QD0000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Dental |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780618264 | Del Norte Clinics Inc. | Clinic/Center | 555 Fremont St, Colusa, CA 95932-2534 | 2006-07-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861093551 | Arshdeep Kaur Dental Corporation | Clinic/Center | 345 F St Ste 180, Chula Vista, CA 91910-2648 | 2020-11-08 |
1699376350 | Funto Ayanleke Dds | Clinic/Center | 1116 W Tokay St Ste A, Lodi, CA 95240-3852 | 2020-11-07 |
1427658541 | Anthony Ngo, Dmd Professional Corporation | Clinic/Center | 18361 Beach Blvd, Huntington Beach, CA 92648-1310 | 2020-10-28 |
1912507948 | Alexander Phillips Dds Inc | Clinic/Center | 120 C Ave Ste 100, Coronado, CA 92118-1992 | 2020-10-28 |
1912507203 | George K Nguyen Dds, PC | Clinic/Center | 2097 Compton Ave Ste 104, Corona, CA 92881-7289 | 2020-10-27 |
1316547524 | Ingersoll Park Marina Gp Dental Corporation | Clinic/Center | 2301 Park Marina Dr Ste 27, Redding, CA 96001-2158 | 2020-10-27 |
1396344073 | Charles Kim Dental Corporation | Clinic/Center | 15651 Imperial Hwy Ste 204, La Mirada, CA 90638-1653 | 2020-10-22 |
1104425131 | Hossein Malakooti A Dental Corporation | Clinic/Center | 16540 Merrill Ave, Fontana, CA 92335 | 2020-10-21 |
1760081129 | Anthony Pham Dental Corp | Clinic/Center | 2658 E Garvey Ave S, West Covina, CA 91791-2113 | 2020-10-17 |
1215535182 | Park and Park Dental Group Partnership | Clinic/Center | 473 E Alessandro Blvd Ste A, Riverside, CA 92508-6021 | 2020-10-13 |
Find all providers with the same taxonomy |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.