Organization · Type 2 NPI
Lake County Tribal Health Consortium, Inc.
Federally Qualified Health Center (FQHC) · Clearlake, CA
NPI number
1285000810
Active
Practice location
14678 Lakeshore Boulevard
Clearlake, CA 95453
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...
Other federally qualified health center (fqhc) providers in Clearlake
About NPI 1285000810
Lake County Tribal Health Consortium, Inc.'s National Provider Identifier is 1285000810, issued on Aug 18, 2015. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Clearlake, CA. The record was last updated on Apr 2, 2024.