CHAPA-DE INDIAN HEALTH PROGRAM, INC. (NPI# 1174653059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174653059 |
| Entity Type | Organization |
| Organization Name | CHAPA-DE INDIAN HEALTH PROGRAM, INC. |
| Other Organization Name | WOODLAND CLINIC |
| Practice Address |
175 W Court St Woodland CA 95695-2913 |
| Mailing Address |
11670 Atwood Rd Auburn CA 95603-9522 |
| Practice Telephone | 5308872800 |
| Practice Fax Number | 5308872807 |
| Mailing Telephone | 5308872800 |
| Mailing Fax Number | 5308872807 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2011-11-02 |
| Authorized Official Name | MR. SIERK HAITSMA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5308872841 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
030000513 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | THP70647F | 05 |
| Other Name | Type Code |
|---|---|
| WOODLAND CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922138841 | Chapa-de Indian Health Program, Inc. | Clinic/Center | 1350 E Main St, Grass Valley, CA 95945-5208 | 2007-03-07 |
| 1114057163 | Chapa-de Indian Health Program, Inc. | Clinic/Center | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2007-03-07 |
| Street Address |
175 W COURT ST |
| City | WOODLAND |
| State | CA |
| Zip Code | 95695-2913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306875125 | Rita B Quade | Family Medicine | 175 W Court St, Woodland, CA 95695-2913 | 2006-07-02 |
| 1902259591 | Julie Yong | Marriage & Family Therapist | 175 W Court St, Woodland, CA 95695-2913 | 2016-07-19 |
| 1881960128 | Northern Valley Indian Health Inc | Clinic/Center | 175 W Court St, Woodland, CA 95695-2913 | 2012-03-30 |
| 1407082324 | Darlene A Ferrara | Dental Hygienist | 175 W Court St, Woodland, CA 95695-2913 | 2009-06-05 |
| 1154584654 | Alicia Martinez | General Practice | 175 W Court St, Woodland, CA 95695 | 2008-07-03 |
| 1841386422 | Brian S. Kim | Dentist | 175 W Court St, Woodland, CA 95695-2913 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851144 | Tariro Angela Sawaya | Student in an Organized Health Care Education/Training Program | 445 1st Street, Woodland, CA 95695 | 2020-08-14 |
| 1093277683 | Christie Lynne Vice | Marriage & Family Therapist | 255 W Court St Ste D, Woodland, CA 95695 | 2019-04-02 |
| 1912479437 | Phillips Scoliosis Center | Chiropractor | 375 W Main St., Ste C-1, Woodland, CA 95695 | 2018-12-21 |
| 1568947042 | Nikhil Sibal | Dentist | Woodland Family Dental, 58 W Court Street, Woodland, CA 95695 | 2018-10-01 |
| 1659860849 | Savannah Ellizabeth Lindley | Behavior Technician | 260 West Main St, Woodland, CA 95695 | 2018-05-03 |
| 1982133344 | Brittanie Ann Akey | Behavior Technician | 1102 Gary Way, Woodland, CA 95695 | 2017-06-08 |
| 1083163604 | Arthur Hernandez | Nurse Practitioner | 215 West Beamer Street, Woodland, CA 95695 | 2016-09-23 |
| 1386191856 | Kelly Lee | Registered Nurse | 25 N. Cottonwood St., Adult and Aging Branch, Yolo County Hhsa, Woodland, CA 95695 | 2016-09-01 |
| 1730634486 | Ida Nilanthi Lonnerdal | Marriage & Family Therapist | 455 First Street, Woodland, CA 95695 | 2016-08-23 |
| 1912365974 | Yaretzi Counseling and Consulting LLC | Social Worker | 327 College St Ste 105, Woodland, CA 95695 | 2016-02-05 |
| Find all providers in zip 95695 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1265650089 | Communicare Health Centers | Clinic/Center | 215 West Beamer St., Woodland, CA 95695-2585 | 2007-04-24 |
| 1972721793 | Communicare Health Centers | Clinic/Center | 215 West Beamer St., Woodland, CA 95695 | 2007-04-24 |
| 1558469064 | Communicare Health Centers | Clinic/Center | 215 W Beamer St, Woodland, CA 95695-2510 | 2006-09-20 |
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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.