COLUSA INDIAN COMMUNITY COUNCIL (NPI# 1790778660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790778660 |
Entity Type | Organization |
Organization Name | COLUSA INDIAN COMMUNITY COUNCIL |
Other Organization Name | COLUSA INDIAN COMMUNITY COUNCIL |
Practice Address |
3710 Highway 45 Colusa CA 95932 |
Practice Telephone | 5304585501 |
Practice Fax Number | 5304588660 |
Mailing Telephone | 5304585501 |
Mailing Fax Number | 5304588660 |
Enumeration Date | 2005-08-25 |
Last Update Date | 2018-06-16 |
Authorized Official Name | CATRINA MARIE ROSS (DIRECTOR OF CLINIC OPERATIONS) |
Authorized Official Telephone | 5304586542 |
Is Organization Subpart | Y |
Parent Organization Name | COLUSA INDIAN COMMUNITY COUNCIL |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
CA | Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Colusa Indian Community Council | Other Name - Individual/Organization |
Colusa Indian Health Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245709435 | Colusa Indian Community Council | Clinic/Center | 516 Jay St, Colusa, CA 95932-2436 | 2018-11-16 |
1053880245 | Colusa Indian Community Council | Clinic/Center | 360 5th St, Colusa, CA 95932-2467 | 2018-11-16 |
1285036533 | Colusa Indian Community Council | Clinic/Center | 3710 Highway 45, Colusa, CA 95932-4026 | 2014-09-18 |
Street Address |
3710 HIGHWAY 45 |
City | COLUSA |
State | CA |
Zip Code | 95932 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285036533 | Colusa Indian Community Council | Clinic/Center | 3710 Highway 45, Colusa, CA 95932-4026 | 2014-09-18 |
1144582925 | Colusa Indian Health Clinic | Nurse Practitioner | 3710 Highway 45, Colusa, CA 95932-4026 | 2012-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1366934218 | Austin James Chase | Social Worker | 162 E. Carson St, Colusa, CA 95932 | 2018-06-05 |
1801253018 | Daniel Hernandez Jr. | Counselor | 160 E. Carson St., Colusa, CA 95932 | 2016-01-19 |
1689834905 | Lisa S Dropp | General Practice | 555 Fremont Street, Colusa, CA 95932 | 2008-06-10 |
1023220167 | Daniel Joseph Mcclough | Physician Assistant | 501 E Street, Williams, CA 95932 | 2007-05-03 |
1811098809 | Tulsi Manish Parikh | Physical Therapist | 199 E Webster Street, Colusa, CA 95932 | 2006-09-25 |
1972601417 | Clay M Gidel | Dentist | 3000 Davison Court, Colusa, CA 95932 | 2006-09-20 |
1316992068 | Lawrence M Highman | Surgery | 155 E Webster St, Colusa, CA 95932 | 2006-05-23 |
1144215427 | Colusa Regional Medical Center | General Acute Care Hospital | 199 E. Webster Street, Colusa, CA 95932 | 2005-09-13 |
1265940894 | California Specialty Hosptial North | General Acute Care Hospital | 199 E Webster St, Colusa, CA 95932 | 2018-01-17 |
1558659995 | Shannon June Piper | Marriage & Family Therapist | 162 East Carson Street, Suite A, Colusa, CA 95932 | 2011-07-19 |
Find all providers in zip 95932 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285036533 | Colusa Indian Community Council | Clinic/Center | 3710 Highway 45, Colusa, CA 95932-4026 | 2014-09-18 |
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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.