Susanville Indian Rancheria in Susanville - Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy
Susanville Indian Rancheria - NPI 1053484998
Susanville Indian Rancheria is a Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy in Susanville, California. Susanville Indian Rancheria practices all healthcare services and medical treatments related to Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy. The NPI Number for Susanville Indian Rancheria is 1053484998. The last update date is 2008-07-16.
Susanville Indian Rancheria's current location address is 795 Joaquin St, Susanville, California. You can contact this provider via phone number 5302578581 and fax number 5302511846. The mailing address for Susanville Indian Rancheria is 795 Joaquin St, Susanville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Susanville Indian Rancheria |
|---|---|
| Address | 795 Joaquin St, Susanville, California |
| Phone Number | 5302578581 |
| Fax Number | 5302511846 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TRIBAL CHA |
|---|---|
| Authorized Official Name | Dixon Stacy |
| Telephone Number | 5302576264 |
NPI Number Detail
| NPI Number | 1053484998 |
|---|---|
| Provider Enumeration Date | 2006-11-16 |
| Last Updated Date | 2008-07-16 |
Provider Mailing Address Detail
| Address | 795 Joaquin St |
|---|---|
| City | Susanville |
| State | California (CA) |
| Post Code | 961303628 |
| Phone Number | 5302578581 |
| Fax Number | 5302511846 |
Provider's Primary Taxonomy Detail
| Speciality | Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy |
|---|---|
| Taxonomy | 332800000X |
| Licence No | PHE47046 |
|
Definition: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PHA470460 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Susanville Indian Rancheria by the Centers for Medicare & Medicaid Services?
The Susanville Indian Rancheria has been issued the NPI (National Provider Identifier) 1053484998. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Susanville Indian Rancheria's facilities are situated?
The facilities of Susanville Indian Rancheria are physically located at the following address: 795 Joaquin St, Susanville, CA, 961303628.
What is the Susanville Indian Rancheria's specialty and taxonomy code?
The Susanville Indian Rancheria's specialty is Indian Health Service/tribal/urban Indian Health (i/t/u) Pharmacy, and the corresponding taxonomy code is 332800000X.
When did the Susanville Indian Rancheria receive its 1053484998?
The Susanville Indian Rancheria was issued its 1053484998 on 2006-11-16, which is the date when the organization was assigned this unique identifier.
When was the information regarding Susanville Indian Rancheria, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Susanville Indian Rancheria, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-07-16.
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