Colusa Indian Community Council
NPI #1053880245 in Colusa, California
Provider Information
- NPI Number
- 1053880245
- Entity Type
- Organization
- Organization Name
- Colusa Indian Community Council
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COLUSA INDIAN COMMUNITY COUNCIL
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 16, 2018
- Last Updated
- Nov 16, 2018
Practice Location
- Address
- 360 5TH ST
- City
- Colusa
- State
- California
- ZIP Code
- 95932-2467
- Phone
- (530) 458-3614
Authorized Official
- Name
- CATRINA MARIE ROSS
- Title
- DIRECTOR OF CLINIC OPERATIONS
- Phone
- (530) 458-6542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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