Colusa Indian Health Clinic
NPI #1144582925 in Colusa, California
Provider Information
- NPI Number
- 1144582925
- Entity Type
- Organization
- Organization Name
- Colusa Indian Health Clinic
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- COLUSA INDIAN COMMUNITY COUNCIL
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Jun 8, 2012
- Last Updated
- Jun 8, 2012
Practice Location
- Address
- 3710 HIGHWAY 45
- City
- Colusa
- State
- California
- ZIP Code
- 95932-4026
- Phone
- (530) 458-5501
Authorized Official
- Name
- MARK SPRAGUE
- Title
- DIRECTOR OF CLINIC OPERATIONS
- Phone
- (530) 458-5501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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