Organization · Type 2 NPI
Southern Trinity Health Inc
Federally Qualified Health Center (FQHC) · Mad River, CA
NPI number
1316121007
Active
Practice location
153-A Van Duzen Rd
Mad River, CA 95552
Fax (707) 574-6523
Mailing address
PO Box 7
Scotia, CA 95565-0007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
3 other providers at this address
Other federally qualified health center (fqhc) providers in Mad River
About NPI 1316121007
Southern Trinity Health Inc's National Provider Identifier is 1316121007, issued on Dec 18, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Mad River, CA. The record was last updated on Apr 21, 2022.