| Colusa Indian Community Council | |
|
360 5th St Colusa CA 95932-2467 | |
| (530) 458-3614 | |
| (530) 458-4047 |
| Full Name | Colusa Indian Community Council |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 360 5th St, Colusa, California |
| Authorized Official Name and Position | Catrina Marie Ross (DIRECTOR OF CLINIC OPERATIONS) |
| Authorized Official Contact | 5304586542 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colusa Indian Community Council 3710 Highway 45 Colusa CA 95932-4026 Ph: (530) 458-6542 | Colusa Indian Community Council 360 5th St Colusa CA 95932-2467 Ph: (530) 458-3614 |
| NPI Number | 1053880245 |
|---|---|
| Provider Enumeration Date | 11/16/2018 |
| Last Update Date | 11/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053880245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |