CONSOLIDATED TRIBAL HEALTH PROJECT (NPI# 1417963877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417963877 |
| Entity Type | Organization |
| Organization Name | CONSOLIDATED TRIBAL HEALTH PROJECT |
| Practice Address |
6991 N State St Redwood Valley CA 95470-9629 |
| Mailing Address |
460 Todd Rd Ukiah CA 95482-4237 |
| Practice Telephone | 7074855115 |
| Practice Fax Number | 7074855199 |
| Mailing Telephone | 7074855115 |
| Mailing Fax Number | 7074855199 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | GEORGE O PROVENCHER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7074855115 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
8336 | CA | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CONSOLIDATED TRIBAL HEALTH PROJECT INC | 6991 N State St, Redwood Valley, CA 95470-9629 |
| Street Address |
6991 N STATE ST |
| City | REDWOOD VALLEY |
| State | CA |
| Zip Code | 95470-9629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982676698 | Amy Louise Redmer | Family Medicine | 6991 N State St, Redwood Valley, CA 95470-9629 | 2006-02-06 |
| 1881114676 | Jerie Lynn Williams | Nurse Practitioner | 6991 N State St, Redwood Valley, CA 95470-9629 | 2017-06-22 |
| 1700306743 | Erick N Wahome | Registered Nurse | 6991 N State St, Redwood Valley, CA 95470-9629 | 2017-06-21 |
| 1811312721 | Marissa Gonzalez James | Nurse Practitioner | 6991 N State St, Redwood Valley, CA 95470-9629 | 2014-02-28 |
| 1386073930 | Andrea Culbertson | Dietitian, Registered | 6991 N State St, Redwood Valley, CA 95470-9629 | 2013-11-04 |
| 1346547049 | Tanya O Estrada-ruiz | Massage Therapist | 6991 N State St, Redwood Valley, CA 95470-9629 | 2011-02-16 |
| 1457682858 | Margaret B Bregger | Dietitian, Registered | 6991 N State St, Redwood Valley, CA 95470-9629 | 2010-01-25 |
| 1346575511 | Rachel Chavez | Physician Assistant | 6991 N State St, Redwood Valley, CA 95470-9629 | 2009-10-06 |
| 1487895223 | Stephenie Dawn Dickie | Dentist | 6991 N State St, Redwood Valley, CA 95470-9629 | 2009-03-06 |
| 1861678740 | Debbie J Swayze | Counselor | 6991 N State St, Redwood Valley, CA 95470-9629 | 2008-01-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792783 | Salina Benitez | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2016-11-16 |
| 1538445358 | Redwood Community Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7351 Sems Ln, Redwood Valley, CA 95470 | 2011-10-25 |
| 1104459585 | Kara-faye Ingram | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2020-02-13 |
| 1104457266 | Dominique Serna-heal | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2020-01-28 |
| 1598395287 | Stephanie Campos | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2020-01-22 |
| 1003452566 | Salina Perales | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2019-11-20 |
| 1023654464 | Jasmine Quilter | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2019-11-20 |
| 1871139360 | Eliyah Smith | Counselor | 7690 East Road, Redwood Valley, CA 95470 | 2019-11-20 |
| 1821633421 | Zobeyda Bojorquez | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2019-11-07 |
| 1033614979 | Kayla Hickey | Counselor | 7690 East Rd, Redwood Valley, CA 95470 | 2018-03-23 |
| Find all providers in zip 95470 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003826009 | Consolidated Tribal Health Project, Inc. | Clinic/Center | 6991 N State St, Redwood Valley, CA 95470-9629 | 2006-08-09 |
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| Find all providers with the same taxonomy | ||||
| City | REDWOOD VALLEY |
| Zip Code | 95470 |
Please comment or provide details below to improve the information on CONSOLIDATED TRIBAL HEALTH PROJECT.
| 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.