GREENVILLE RANCHERIA (NPI# 1326031881) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326031881 |
| Entity Type | Organization |
| Organization Name | GREENVILLE RANCHERIA |
| Other Organization Name | GREENVILLE RANCHERIA TRIBAL HEALTH |
| Practice Address |
410 Main Street Greenville CA 95947-0279 |
| Mailing Address |
Po Box 279 Greenville CA 95947-0279 |
| Practice Telephone | 5302846135 |
| Practice Fax Number | 5302847594 |
| Mailing Telephone | 5302847990 |
| Mailing Fax Number | 5302847299 |
| Enumeration Date | 2005-08-30 |
| Last Update Date | 2009-03-12 |
| NPI Deactivation Date | 07/17/2007 |
| NPI Reactivation Date | 2007-08-21 |
| Authorized Official Name | PATTY ALLEN (FISCAL OFFICER) |
| Authorized Official Telephone | 5302847990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | THP70390G | 05 |
| Other Name | Type Code |
|---|---|
| Greenville Rancheria Tribal Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194340794 | Greenville Rancheria | Clinic/Center | 13545 Saint Marys Ave, Red Bluff, CA 96080-8884 | 2020-06-10 |
| 1568455053 | Greenville Rancheria | Dentist | 343 Oak Street, Red Bluff, CA 96080-4605 | 2005-08-30 |
| 1164780573 | Greenville Rancheria | Dentist | 343 Oak St, Red Bluff, CA 96080-3304 | 2012-04-24 |
| Street Address |
410 MAIN STREET |
| City | GREENVILLE |
| State | CA |
| Zip Code | 95947-0279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316161508 | Kim Lou Kurihara | Licensed Psychiatric Technician | 410 Main Street, Greenville, CA 95947 | 2007-04-12 |
| 1942353800 | Leif Rasmussen | Family Medicine | 410 Main Street, Greenville, CA 95947 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376096248 | Shelly Dixon | Rehabilitation Practitioner | 96 S Main St, Greenville, CA 95947 | 2016-07-27 |
| 1235410689 | Errol Carter | Community Health Worker | 312 Crescent Dr, Greenville, CA 95947 | 2011-08-30 |
| 1962783308 | Joyce Carter | Community Health Worker | 312 Crescent St., Greenville, CA 95947 | 2011-08-30 |
| 1679896203 | Shauna Lynn Rossington | Marriage & Family Therapist | 312 Crescent St, Greenville, CA 95947 | 2010-03-10 |
| 1154514040 | Sands Traveler P.t. | Clinic/Center | 176 Crescent Street, Greenville, CA 95947 | 2007-08-23 |
| 1831300763 | Indian Valley Fire and Rescue | Ambulance | 121 Ann St, Greenville, CA 95947 | 2007-05-24 |
| 1851844856 | Flora Minera | Rehabilitation Practitioner | 96 S Main St, Greenville, CA 95947 | 2016-07-27 |
| 1598218679 | Melissa Briggs | Rehabilitation Practitioner | 96 S. Main St, Greenville, CA 95947 | 2016-07-26 |
| 1750710646 | Joy Owomoyels | Rehabilitation Practitioner | 312 Crescent St, Greenville, CA 95947 | 2013-11-01 |
| 1285063164 | Ade Owomoyela | Rehabilitation Practitioner | 312 Crescent St, Greenville, CA 95947 | 2013-11-01 |
| Find all providers in zip 95947 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558600601 | Samaritan Community Health Center, Inc. | Clinic/Center | 1720 W Arlington Blvd, Greenville, NC 27834-5998 | 2013-02-09 |
| 1285632836 | Family Health Services of Darke County | Clinic/Center | 5735 Meeker Rd, Greenville, OH 45331-1180 | 2005-07-08 |
| 1376934406 | Greene County Health Care, Inc | Clinic/Center | 261 Belvoir Hwy, Greenville, NC 27834-8193 | 2015-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555061 | Pacific Central Coast Health Centers | Clinic/Center | 1560 Mesa Rd, Ste 101, Nipomo, CA 93444 | 2020-10-15 |
| 1891301578 | Vida Community Clinic | Clinic/Center | 1519 Woodworth St, San Fernando, CA 91340-4153 | 2020-09-18 |
| 1982210522 | Life Helping Hands Inc | Clinic/Center | 987 Haley Talbert Dr, Corona, CA 92881-8402 | 2020-09-18 |
| 1780292912 | Marin Community Clinic | Clinic/Center | 1260 S Eliseo Dr Ste 201, Greenbrae, CA 94904-2009 | 2020-07-14 |
| 1922625847 | Gardner Family Health Network | Clinic/Center | 1621 Gold St, Alviso, CA 95002-3530 | 2020-06-26 |
| 1194340794 | Greenville Rancheria | Clinic/Center | 13545 Saint Marys Ave, Red Bluff, CA 96080-8884 | 2020-06-10 |
| 1841829876 | Pacific Central Coast Health Centers | Clinic/Center | 1992 Old Mission Dr Ste 140, Solvang, CA 93463-2302 | 2020-04-02 |
| 1740812866 | Tauna Mcginnis | Clinic/Center | 1570 Soquel Dr Ste 4, Santa Cruz, CA 95065-1715 | 2020-02-06 |
| 1275173403 | United Advocates for Children and Families | Clinic/Center | 2143 Hurley Way Ste 102, Sacramento, CA 95825-3297 | 2020-01-15 |
| 1083251532 | Prime Wellness Community Health Center | Clinic/Center | 1824 1/2 W 38th Pl, Los Angeles, CA 90062-1012 | 2019-12-03 |
| Find all providers with the same taxonomy | ||||
| City | GREENVILLE |
| Zip Code | 95947 |
Please comment or provide details below to improve the information on GREENVILLE RANCHERIA.
| 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.