Chapa-De Indian Health Program, Inc.

NPI #1174653059 in Woodland, California

Provider Information

NPI Number
1174653059
Entity Type
Organization
Organization Name
Chapa-De Indian Health Program, Inc.
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Mar 7, 2007
Last Updated
Nov 2, 2011

Practice Location

Address
175 W COURT ST
ZIP Code
95695-2913
Phone
(530) 887-2800

Authorized Official

Name
MR. SIERK HAITSMA
Title
CHIEF FINANCIAL OFFICER
Phone
(530) 887-2841

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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