Southern Indian Health Council Inc in Alpine - Clinic/center

Southern Indian Health Council Inc - NPI 1346247947

Southern Indian Health Council Inc is a Clinic/center in Alpine, California. Southern Indian Health Council Inc practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Southern Indian Health Council Inc is 1346247947. The last update date is 2017-10-04.

Southern Indian Health Council Inc's current location address is 4058 Willows Road, Alpine, California. You can contact this provider via phone number 6194451188 and fax number 6196593138. The mailing address for Southern Indian Health Council Inc is 4058 Willows Road, Alpine, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Southern Indian Health Council Inc
Address 4058 Willows Road, Alpine, California
Phone Number 6194451188
Fax Number 6196593138
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name King A Terrance
Telephone Number 6194451188

NPI Number Detail

NPI Number 1346247947
Provider Enumeration Date 2005-06-28
Last Updated Date 2017-10-04

Provider Mailing Address Detail

Address 4058 Willows Road
City Alpine
State California (CA)
Post Code 919011668
Phone Number 6194451188
Fax Number 6196593138

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
ZZZ58086Z BLUE SHIELD OF CALIFORNIA
THP70010F CA --
HAP70010F CA FAMILY PACT
W7576A CA MEDICARE

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FAQs about Southern Indian Health Council Inc

What is the Southern Indian Health Council Inc's 1346247947?

The Southern Indian Health Council Inc's NPI (National Provider Identifier) Number is 1346247947. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Southern Indian Health Council Inc is physically located?

The Southern Indian Health Council Inc is physically situated at the following address: 4058 Willows Road, Alpine, CA, 919011668.

What is Southern Indian Health Council Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Southern Indian Health Council Inc's area of specialization is Clinic/center, and the corresponding taxonomy code that categorizes this field of practice is 261Q00000X.

When was the Southern Indian Health Council Inc's 1346247947 issued?

The Southern Indian Health Council Inc's 1346247947 was issued on 2005-06-28.

As of what date were the Southern Indian Health Council Inc's details last updated?

The information pertaining to the Southern Indian Health Council Inc, including its address, specialty, and other details, was most recently updated on 2017-10-04.

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