institution
Lake County Tribal Health Southshore Clinic
Federally Qualified Health Center (FQHC) in Clearlake, California
NPI 1063158038

Lake County Tribal Health Southshore Clinic is a Federally Qualified Health Center (FQHC) based in Lakeport, CA and is specialized in Federally Qualified Health Center (FQHC). Lake County Tribal Health Southshore Clinic practices in Clearlake, CA. The NPI Number for Lake County Tribal Health Southshore Clinic is 1063158038 and holds a License No. (California).

The current practice location address for Lake County Tribal Health Southshore Clinic is 14440 Olympic Drive, Clearlake, CA and can be reached out via phone at 707-263-8382 and via fax at 707-263-5019.

Location: 14440 Olympic Drive, Clearlake, CA, 95453-1950
institution
Provider Profile Details
NPI Number
1063158038
Provider Name
Lake County Tribal Health Southshore Clinic
Credential
Provider Entity Type
Organization
Address
14440 Olympic Drive, Clearlake, CA, 95453-1950
Phone Number
707-263-8382
Fax Number
707-263-5019
Provider Enumeration Date
05/11/2022
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
14440 Olympic Drive
City
State
Zip
95422
Phone Number
707-263-8382
Fax Number
707-263-5019
person
Provider Business Mailing Address Details
Address
14440 Olympic Drive
City
State
Zip
95422
Phone Number
707-263-8382
Fax Number
707-263-5019
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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