Lake County Tribal Health Consortium, Inc.
NPI #1215327804 in Lakeport, California
Provider Information
- NPI Number
- 1215327804
- Entity Type
- Organization
- Organization Name
- Lake County Tribal Health Consortium, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Feb 3, 2015
- Last Updated
- Apr 27, 2022
Practice Location
- Address
- 359 LAKEPORT BLVD
- City
- Lakeport
- State
- California
- ZIP Code
- 95453-5412
- Phone
- (707) 533-2700
Authorized Official
- Name
- MR. ERNESTO PADILLA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (707) 263-0329
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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