Organization · Type 2 NPI
Lake County Tribal Health Consortium, Inc.
Federally Qualified Health Center (FQHC) · Lakeport, CA
NPI number
1215327804
Active
Practice location
359 Lakeport Blvd
Lakeport, CA 95453-5412
Fax (707) 263-5400
Mailing address
PO Box 1950
Lakeport, CA 95453-1950
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
5 other providers at this address
- Emily Tang, NPPediatric Nurse Practitioner Lakeport, CA NPI 1497141832
- Florencia Karina Miranda Chumpitaz, NPFamily Nurse Practitioner Lakeport, CA NPI 1356121404
- Katia Zogg, RDRegistered Dietitian Lakeport, CA NPI 1710596556
- Marlene Quilala, MDPediatrics Physician Lakeport, CA NPI 1346308855
- Shauna RogersHealth Educator Lakeport, CA NPI 1811431166
Other federally qualified health center (fqhc) providers in Lakeport
About NPI 1215327804
Lake County Tribal Health Consortium, Inc.'s National Provider Identifier is 1215327804, issued on Feb 3, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lakeport, CA. The record was last updated on Apr 27, 2022.