NORTHERN VALLEY INDIAN HEALTH, INC (NPI# 1588799449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588799449 |
| Entity Type | Organization |
| Organization Name | NORTHERN VALLEY INDIAN HEALTH, INC |
| Practice Address |
2500 Main St Red Bluff CA 96080-2336 |
| Mailing Address |
207 N Butte St Willows CA 95988-2803 |
| Practice Telephone | 5305292567 |
| Practice Fax Number | 5305292552 |
| Mailing Telephone | 5309349293 |
| Mailing Fax Number | 5309342204 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-07-22 |
| Authorized Official Name | MRS. LARISSA TAMBLE (FISCAL MANAGMENT DIRECTOR) |
| Authorized Official Telephone | 5309349293 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 230000357 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | THP71054F | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770859084 | Northern Valley Indian Health, Inc | Clinic/Center | 1515 Springfield Dr Ste 175, Chico, CA 95928 | 2012-03-30 |
| 1740634286 | Northern Valley Indian Health, Inc | Clinic/Center | 500 Cohasset Rd Ste 15, Chico, CA 95926-2260 | 2016-04-21 |
| 1265567127 | Northern Valley Indian Health, Inc | Clinic/Center | 845 W East Ave, Chico, CA 95926-2002 | 2007-02-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | NORTHERN VALLEY INDIAN HEALTH, INC. | 207 N Butte St, Willows, CA 95988-2803 |
| Street Address |
2500 MAIN ST |
| City | RED BLUFF |
| State | CA |
| Zip Code | 96080-2336 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073971461 | Daniel Murolo | Dentist | 2500 Main St, Red Bluff, CA 96080-2336 | 2016-02-01 |
| 1831432699 | Julia Ichikawa | Dentist | 2500 Main St, Red Bluff, CA 96080 | 2013-03-30 |
| 1154600138 | Leah Marie Stroing | Dentist | 2500 Main St, Red Bluff, CA 96080-2336 | 2011-08-09 |
| 1851341903 | Jack L Fry | Dentist | 2500 Main St, Red Bluff, CA 96080-2336 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578912408 | Gillian Lilo Prothro | Registered Nurse | 1425 Montgomery St., Red Bluff, CA 96080 | 2016-06-10 |
| 1154739373 | Gisela Vazquez Sandoval | Counselor | 818 Walnut St, Red Bluff, CA 96080 | 2014-07-31 |
| 1215348883 | Courtney Cathleen Coenen | Non-emergency Medical Transport (VAN) | 320 Michael Drive, Red Bluff, CA 96080 | 2014-05-16 |
| 1023451986 | Nhuha Thi Le | Registered Nurse | 1860 B Walnut St, Red Bluff, CA 96080 | 2013-04-10 |
| 1184991580 | Maria Arendina Los | Registered Nurse | 818 Main Street, Tehama County Health Services Agency, Red Bluff, CA 96080 | 2011-11-30 |
| 1558682195 | Metasebia Bekele | Physician Assistant | 1850 Walnut Street, Red Bluff, CA 96080 | 2010-06-17 |
| 1821314238 | Cynthia Louise Funderburk | Nurse's Aide | 1860 B Walnut Street, Red Bluff, CA 96080 | 2010-04-09 |
| 1285865485 | Phillip John Velador Jr. | Licensed Vocational Nurse | 1860b Walnut Street, Red Bluff, CA 96080 | 2009-08-05 |
| 1609010347 | Lori Kay Mccaughey | Registered Nurse | 1860b Walnut St, Red Bluff, CA 96080 | 2009-04-24 |
| 1467668616 | Tehama County Health Services Agency - Mental Health Division | Clinic/Center | 1860 Walnut Street, Suite A, B, D and J, Red Bluff, CA 96080 | 2007-05-15 |
| Find all providers in zip 96080 | ||||
| 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 |
|---|---|---|---|---|
| 1104398163 | Strawberry G Weber Chiropractic, Inc | Clinic/Center | 658 Washington St, Red Bluff, CA 96080-3321 | 2018-12-31 |
| 1245407402 | William K. Borgsmiller M.d. P.C. | Clinic/Center | 2528 Sister Mary Columba Dr, Red Bluff, CA 96080-4327 | 2008-05-15 |
| 1982882973 | Dr. Clarence W. Winning, M.d., Inc. | Clinic/Center | 530 Main St, Red Bluff, CA 96080-3438 | 2008-02-01 |
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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.