K'IMAW MEDICAL CENTER (NPI# 1306904222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306904222 |
| Entity Type | Organization |
| Organization Name | K'IMAW MEDICAL CENTER |
| Other Organization Name | HOOPA HEALTH ASSOCIATION |
| Practice Address |
535 Airport Rd Hoopa CA 95546-9615 |
| Mailing Address |
535 Airport Road Po Box 1288 Hoopa CA 95546-1288 |
| Practice Telephone | 5306254261 |
| Practice Fax Number | 5306259308 |
| Mailing Telephone | 5306254261 |
| Mailing Fax Number | 5306259308 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2019-10-21 |
| Authorized Official Name | MR. EMMETT CHASE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5306254261 |
| Authorized Official Credential | CEO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | EXEMPT INDIAN TR | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PHARMACY NABP | 0533922 | 01 |
| CA | PHARMACY | PHE43666 | 01 |
| CA | THP11573F | 05 | |
| CA | BC COUNTY MEDICAID | 005540 | 01 |
| CA | PHARMACY DEA | BK6251502 | 01 |
| CA | EAPC | EAP11573F | 01 |
| CA | CLIA | 05D0699458 | 01 |
| CA | PHARMACY MEDICAID NUMBER | PHE436660 | 01 |
| Other Name | Type Code |
|---|---|
| Hoopa Health Association | Former Legal Business Name - Organization |
| Street Address |
535 AIRPORT RD |
| City | HOOPA |
| State | CA |
| Zip Code | 95546-9615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720066061 | James J Matsuda | Pediatrics | 535 Airport Rd, Hoopa, CA 95546-9615 | 2006-01-06 |
| 1255931317 | Damon Moon Cross | Counselor | 535 Airport Rd, Hoopa, CA 95546-9615 | 2020-10-28 |
| 1801374939 | Suzanne Garrett | Counselor | 535 Airport Rd, Hoopa, CA 95546 | 2018-07-31 |
| 1326526468 | Callista Lanika Ruiz | Counselor | 535 Airport Rd, Hoopa, CA 95546-9615 | 2018-07-31 |
| 1871002162 | Vicki Dorisse Estes Bruff | Dietitian, Registered | 535 Airport Rd, Hoopa, CA 95546-9615 | 2017-09-29 |
| 1578091435 | Michael Noel Sonn | Counselor | 535 Airport Rd, Hoopa, CA 95546 | 2017-05-23 |
| 1376902692 | K'ima:w Medical Center | General Acute Care Hospital | 535 Airport Rd, Hoopa, CA 95546-9615 | 2016-02-15 |
| 1689826091 | Tracy Lynne Langhurst | Physician Assistant | 535 Airport Rd, Hoopa, CA 95546-9615 | 2008-10-16 |
| 1891969572 | Olatokunbo Morenike Ayoola-archie | Internal Medicine | 535 Airport Rd, Hoopa, CA 95546-9615 | 2008-04-14 |
| 1326217829 | Kimaw Medical Center Pharmacy | Clinic/Center | 535 Airport Rd, Hoopa, CA 95546-9615 | 2008-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952451783 | Kenneth Darryl Biles I | Dentist | 1201 Airport Rd, Hoopa, CA 95546 | 2007-01-12 |
| 1770572182 | Kimaiw Med Cntr | Emergency Medical Technician, Paramedic | 1200 Airport Road, Hoopa, CA 95546 | 2005-10-18 |
| 1265438154 | United Indian Health Services, Inc. | Clinic/Center | Junc of Hwy 96 & Hwy 196, Weitchpec, CA 95546 | 2005-06-24 |
| 1750501607 | Evelyn Sachie Takane | Dentist | 1200 Airport Road, Hoopa, CA 95546 | 2007-04-25 |
| 1710038377 | Joan Shirley Brady | Dental Hygienist | 1201 Airport Rd, Hoopa, CA 95546 | 2007-01-12 |
| 1417007253 | Doyle Alan Bradshaw | Dentist | 1201 Airport Rd, Hoopa, CA 95546 | 2007-01-12 |
| 1902976897 | Emmett Chase | Clinic/Center | 1200 Airport Road, Hoopa, CA 95546 | 2006-11-08 |
| 1982773099 | Eva Marie Smith | Family Medicine | 1200 Airport Road, Hoopa, CA 95546 | 2006-11-06 |
| 1306915418 | Susan Nilsen Walsh | Nurse Practitioner | 1200 Airport Road, Hoopa, CA 95546 | 2006-11-06 |
| 1487829693 | Hoopa Valley Business Council Hoopa Valley Tribe | Clinic/Center | 2 Orchard Ave, Hoopa, CA 95546-1267 | 2008-04-29 |
| Find all providers in zip 95546 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760651129 | K'ima: W Medical Center | Clinic/Center | 1200 Airportroad, Hoopa, CA 95546-1288 | 2008-02-29 |
| 1326217829 | Kimaw Medical Center Pharmacy | Clinic/Center | 535 Airport Rd, Hoopa, CA 95546-9615 | 2008-02-28 |
| 1861661365 | Hupa Health Association Inc Ambulance | Clinic/Center | 535 Airport Rd, Hoopa, CA 95546-9615 | 2008-02-28 |
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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.