| Consolidated Tribal Health Project, Inc | |
|
6991 N State St Redwood Valley CA 95470-9629 | |
| (707) 485-5115 | |
| (707) 485-7837 |
| Full Name | Consolidated Tribal Health Project, Inc |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 6991 N State St, Redwood Valley, California |
| Authorized Official Name and Position | George Provencher (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7074855115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consolidated Tribal Health Project, Inc 947 N Oak St Ukiah CA 95482-3905 Ph: (707) 485-5115 | Consolidated Tribal Health Project, Inc 6991 N State St Redwood Valley CA 95470-9629 Ph: (707) 485-5115 |
| NPI Number | 1902913486 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902913486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 44306 (California) | Primary |
Redwood Valley Health Clinic, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8501 West Rd, Redwood Valley, CA 95470 Phone: 707-485-6900 Fax: 707-485-6909 |