| Chemehuevi Indian Tribe | |
|
1970 Palo Verde Drive Havasu Lake CA 92363-1976 | |
| (760) 858-5426 | |
| Not Available |
| Full Name | Chemehuevi Indian Tribe |
|---|---|
| Speciality | Clinic/center |
| Location | 1970 Palo Verde Drive, Havasu Lake, California |
| Authorized Official Name and Position | Glenn Lodge (TRIBAL CHAIRMAN) |
| Authorized Official Contact | 7608584219 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chemehuevi Indian Tribe Po Box 1976 Havasu Lake CA 92363-1976 Ph: (760) 858-4219 | Chemehuevi Indian Tribe 1970 Palo Verde Drive Havasu Lake CA 92363-1976 Ph: (760) 858-5426 |
| NPI Number | 1144910753 |
|---|---|
| Provider Enumeration Date | 05/09/2023 |
| Last Update Date | 05/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144910753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Dhhs Ihs Phoenix Area Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1970 Palo Verde, Havasu Lake, CA 92363 Phone: 760-858-4790 Fax: 928-669-3232 |