Colusa Indian Community Council
NPI #1285036533 in Colusa, California
Provider Information
- NPI Number
- 1285036533
- Entity Type
- Organization
- Organization Name
- Colusa Indian Community Council
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Sep 18, 2014
- Last Updated
- Sep 18, 2014
Practice Location
- Address
- 3710 HIGHWAY 45
- City
- Colusa
- State
- California
- ZIP Code
- 95932-4026
- Phone
- (530) 458-5501
Authorized Official
- Name
- MARK SPRAGUE
- Title
- CLINIC DIRECTOR
- Phone
- (530) 458-5501
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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