K'IMA:W MEDICAL CENTER (NPI# 1376902692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376902692 |
Entity Type | Organization |
Organization Name | K'IMA:W MEDICAL CENTER |
Practice Address |
535 Airport Rd Hoopa CA 95546-9615 |
Practice Telephone | 5306254261 |
Mailing Telephone | 5306254261 |
Enumeration Date | 2016-02-15 |
Last Update Date | 2016-02-15 |
Authorized Official Name | MR. EMMETT CHASE (CEO) |
Authorized Official Telephone | 5306254261 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 282NR1301X |
General Acute Care Hospital Specialization: Rural |
RHF00101325 | CA | Hospitals |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | K'IMA:W MEDICAL CENTER | 535 Airport Rd, Hoopa, CA 95546-9615 |
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 |
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 |
1861661365 | Hupa Health Association Inc Ambulance | Clinic/Center | 535 Airport Rd, Hoopa, CA 95546-9615 | 2008-02-28 |
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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 | 282NR1301X |
Grouping | Hospitals |
Classification | General Acute Care Hospital |
Specialization | Rural |
Definition to come... |
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---|---|---|---|---|
1205288818 | Mahalet Zewde Welde Semat | General Acute Care Hospital | 2447 Vallejo St Apt 5, San Francisco, CA 94123-4656 | 2016-07-07 |
1053789164 | Va Longbeach Medical Center | General Acute Care Hospital | 14118 Cordary Ave Apt 22, Hawthorne, CA 90250-8074 | 2015-09-04 |
1871884585 | Tulare Local Health Care District | General Acute Care Hospital | 16796 Avenue 168, Woodville, CA 93257-0000 | 2011-04-28 |
1841525532 | Stanley D Levine, Md A Professional Corporation | General Acute Care Hospital | 20760 Hyde Rd, Sonoma, CA 95476-9588 | 2009-10-13 |
1700020500 | Sutter Health Sacramento Sierra Region | General Acute Care Hospital | 24685 Highway 88, Pioneer, CA 95666 | 2009-04-23 |
1164680617 | California Pacific Medical Center | General Acute Care Hospital | 550 Battery St Apt 1417, San Francisco, CA 94111-2328 | 2008-05-30 |
1649446014 | Edward Turberville Peter | General Acute Care Hospital | 13980 Valley View Dr, Red Bluff, CA 96080-9352 | 2008-05-05 |
1952402844 | Feather River Hospital | General Acute Care Hospital | 5730 Canyon View Dr., Paradise, CA 95969 | 2006-09-26 |
1558374132 | Byron P Sansom A Dental Corporation | General Acute Care Hospital | 452 Old Mammoth Rd., Suite L, Mammoth Lakes, CA 93546 | 2006-08-14 |
1750321378 | John Michael Pabers | General Acute Care Hospital | 2304 Juan St, San Diego, CA 92103-1111 | 2006-06-08 |
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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.