Organization · Type 2 NPI
Lake County Tribal Health Consortium Inc.
Federally Qualified Health Center (FQHC) · Lakeport, CA
NPI number
1881697381
Active
Practice location
925 Bevins Ct
Lakeport, CA 95453-9754
Fax (707) 263-0329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 110000289 (CA) |
Federally Qualified Health Center (FQHC): Definition to come...
45 other providers at this address
- Lake County Tribal Health Consortium, Inc.Community/Retail Pharmacy Lakeport, CA NPI 1528402336
- Alireza Sadre-Nassiri, DMDPediatric Dentistry Lakeport, CA NPI 1740544303
- Amy Lopez, LCSWClinical Social Worker Lakeport, CA NPI 1467129767
- Angela Marie Knight, M.F.T.Marriage & Family Therapist Lakeport, CA NPI 1801939053
- Anthony Joseph Mitchell, PTAPhysical Therapy Assistant Lakeport, CA NPI 1730807611
- Beverly A. Southerland, P.A.Physician Assistant Lakeport, CA NPI 1376529891
- Chalice Ann Addis, FNP-BCFamily Nurse Practitioner Lakeport, CA NPI 1306359146
- Charissa M. Barsos, NPNurse Practitioner Lakeport, CA NPI 1215309398
- Christian Kenshin JobAdministrator Registered Nurse Lakeport, CA NPI 1083413058
- Dawn Pavli, RDNRegistered Dietitian Lakeport, CA NPI 1649896549
- Deborah Suzanne Johnson, LCSWClinical Social Worker Lakeport, CA NPI 1649333444
- Dorian Vincent de PaulePhysical Therapy Assistant Lakeport, CA NPI 1275415622
Other federally qualified health center (fqhc) providers in Lakeport
About NPI 1881697381
Lake County Tribal Health Consortium Inc.'s National Provider Identifier is 1881697381, issued on May 27, 2005. 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 Mar 3, 2026.