Chemehuevi Indian Tribe
NPI #1144910753 in Havasu Lake, California
Provider Information
- NPI Number
- 1144910753
- Entity Type
- Organization
- Organization Name
- Chemehuevi Indian Tribe
- Primary Specialty
- Clinic/Center
- Enumeration Date
- May 9, 2023
- Last Updated
- May 9, 2023
Practice Location
- Address
- 1970 PALO VERDE DRIVE
- City
- Havasu Lake
- State
- California
- ZIP Code
- 92363-1976
- Phone
- (760) 858-5426
Authorized Official
- Name
- GLENN LODGE
- Title
- TRIBAL CHAIRMAN
- Phone
- (760) 858-4219
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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