ROUND VALLEY INDIAN HEALTH CENTER (NPI# 1114136066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114136066 |
| Entity Type | Organization |
| Organization Name | ROUND VALLEY INDIAN HEALTH CENTER |
| Other Organization Name | YUKI TRAILS HUMAN SERVICES DEPARTMENT |
| Practice Address |
23000 Henderson Lane Covelo CA 95428-0247 |
| Mailing Address |
Po Box 247 Covelo CA 95428-0247 |
| Practice Telephone | 7079836404 |
| Practice Fax Number | 7079836184 |
| Mailing Telephone | 7079836404 |
| Mailing Fax Number | 7079836184 |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JAMES RUSS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7079836404 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
230007AN | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | THP11697F | 05 |
| Other Name | Type Code |
|---|---|
| Yuki Trails Human Services Department | Other Name - Individual/Organization |
| Street Address |
23000 HENDERSON LANE |
| City | COVELO |
| State | CA |
| Zip Code | 95428-0247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033375191 | Carol Appel-basham | Physician Assistant | Hwy 162 and Biggar Lane, Covelo, CA 95428 | 2008-07-29 |
| 1194923078 | Craig B Emerson | Dentist | Highway 162 and Biggar Lane, Covelo, CA 95428 | 2007-07-03 |
| 1174748784 | Covelo Ambulance Service | Ambulance | 79500 Covelo Rd, Covelo, CA 95428 | 2007-04-17 |
| 1649392234 | Maryann Ruth Molina Brookins | Counselor | 23000 Henderson Ln., Covelo, CA 95428 | 2007-04-04 |
| 1487973798 | Snehal Raisoni | Internal Medicine | Hiwghway 162 and Biggar Lane, Covelo, CA 95428-0247 | 2010-05-26 |
| 1669532750 | Round Valley Indian Health Center, Inc. | Clinic/Center | Highway 162 & Biggar Lane, Covelo, CA 95428-0247 | 2006-12-11 |
| 1760416903 | Kevin Joseph Mack | Psychologist | 23000 Henderson Road, Covelo, CA 95428-0247 | 2006-07-11 |
| 1114149721 | Someth Lor | Dentist | Highway 162 & Biggar Lane, Covelo, CA 95428-0247 | 2007-05-03 |
| 1396967782 | Bradley S Nydegger | Dentist | Highway 162 & Biggar Lane, Covelo, CA 95428-0247 | 2007-05-03 |
| 1306067327 | Laurence Richard Alavezos | Family Medicine | Highway 162 & Biggar Lane, Covelo, CA 95428-0247 | 2007-05-01 |
| Find all providers in zip 95428 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
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| 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.