CHAPA-DE INDIAN HEALTH PROGRAM INC (NPI# 1942435946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942435946 |
| Entity Type | Organization |
| Organization Name | CHAPA-DE INDIAN HEALTH PROGRAM INC |
| Other Organization Name | CHAPA-DE INDIAN HEALTH PROGRAM PHARMACY-GRASS VALLEY |
| Practice Address |
1350 E Main St Pharmacy Dept Grass Valley CA 95945-5208 |
| Practice Telephone | 5304775968 |
| Practice Fax Number | 5304778738 |
| Mailing Telephone | 5304775968 |
| Mailing Fax Number | 5304778738 |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2017-03-01 |
| Authorized Official Name | LISA DAVIES (CFO) |
| Authorized Official Telephone | 5308872800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 333600000X | Pharmacy | Suppliers | ||
| Y | 332800000X | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | PHY49917 | CA | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1942435946 | 05 | |
| PK | 2120323 | 01 |
| Other Name | Type Code |
|---|---|
| Chapa-De Indian Health Program Pharmacy-Grass Valley | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508882911 | Chapa-de Indian Health Program Inc | Pharmacy | 11670 Atwood Rd, Auburn, CA 95603-9522 | 2006-07-15 |
| Street Address |
1350 E MAIN ST PHARMACY DEPT |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-5208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003304536 | Marlowe Gates Dieckmann | Family Medicine | 1350 E Main St, Grass Valley, CA 95945-5208 | 2018-04-30 |
| 1548781495 | Sarah Janell Bland | Nurse Practitioner | 1350 E Main St, Chapa-de Indian Health, Grass Valley, CA 95945 | 2017-06-30 |
| 1225420714 | Grace Bell | Registered Nurse | 1350 E Main St, Grass Valley, CA 95945-5208 | 2015-02-20 |
| 1740684828 | Nicole Marie Shanklin | Dentist | 1350 E Main St, Grass Valley, CA 95945-5208 | 2014-10-17 |
| 1508206657 | Maria Ahleen De Leon Medina | Dentist | 1350 E Main St, Grass Valley, CA 95945-5208 | 2013-07-02 |
| 1780960963 | Thao Ho | Pharmacist | 1350 E Main St, Chapa-de, Grass Valley, CA 95945 | 2011-11-01 |
| 1851627970 | Sarah Rebecca Sostrin | Acupuncturist | 1350 E Main St, Grass Valley, CA 95945-5208 | 2009-10-23 |
| 1922138841 | Chapa-de Indian Health Program, Inc. | Clinic/Center | 1350 E Main St, Grass Valley, CA 95945-5208 | 2007-03-07 |
| 1306983846 | Allan Ralph Schultz | Dentist | 1350 E Main St, Grass Valley, CA 95945-5208 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| Taxonomy Code | 332800000X |
| Grouping | Suppliers |
| Classification | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603. |
| Notes: Source: The Medicare Prescription Drug, Improvement and Modernization Act of 2003 [1/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598108847 | Hometown Ltc Pharmacy Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1450 W Mccoy Ln Ste B, Santa Maria, CA 93455-1059 | 2013-04-16 |
| 1144873811 | Hometown Ltc Pharmacy Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1009 E Grand Ave, Arroyo Grande, CA 93420-2504 | 2019-07-22 |
| 1407252588 | Ihc Santa Ysabel Pharmacy | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 110 1/2 School House Canyon Road, Santa Ysabel, CA 92070 | 2014-11-17 |
| 1053484998 | Susanville Indian Rancheria | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 795 Joaquin St, Susanville, CA 96130-3628 | 2006-11-16 |
| 1982782256 | United Indian Health Services Inc | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 1600 Weeot Way, Arcata, CA 95521-4734 | 2006-11-02 |
| 1699881540 | Tuolumne Me-wuk Indian Health Center Incorporated | Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | 18880 Cherry Valley Blvd, Tuolumne, CA 95379-9506 | 2006-08-22 |
| City | GRASS VALLEY |
| Zip Code | 95945 |
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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.