Lake County Tribal Health Middletown Clinic
NPI #1982418430 in Middletown, California
Provider Information
- NPI Number
- 1982418430
- Entity Type
- Organization
- Organization Name
- Lake County Tribal Health Middletown Clinic
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Feb 5, 2025
- Last Updated
- Feb 5, 2025
Practice Location
- Address
- 22223 CA-29
- Address 2
- RANCHERIA ROAD, TRIBAL OFFICES #1035
- City
- Middletown
- State
- California
- ZIP Code
- 95461
- Phone
- (707) 263-8382
Authorized Official
- Name
- THOMAS BURNETT
- Title
- EHR SPECIALIST
- Phone
- (707) 263-8382
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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