Lake County Tribal Health Consortium, Inc.
NPI #1285000810 in Clearlake, California
Provider Information
- NPI Number
- 1285000810
- Entity Type
- Organization
- Organization Name
- Lake County Tribal Health Consortium, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 18, 2015
- Last Updated
- Apr 2, 2024
Practice Location
- Address
- 14678 LAKESHORE BOULEVARD
- City
- Clearlake
- State
- California
- ZIP Code
- 95453
- Phone
- (707) 262-8382
Authorized Official
- Name
- MR. ERNESTO PADILLA
- Title
- EXECUTIVE DIRECTOR
- Phone
- (541) 263-8382
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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