institution
Lake County Tribal Health Consortium, Inc.
Federally Qualified Health Center (FQHC) in Clearlake, California
NPI 1285000810

Lake County Tribal Health Consortium, Inc. is a Federally Qualified Health Center (FQHC) based in Lakeport, CA and is specialized in Federally Qualified Health Center (FQHC). Lake County Tribal Health Consortium, Inc. practices in Clearlake, CA. The NPI Number for Lake County Tribal Health Consortium, Inc. is 1285000810 and holds a License No. (California).

The current practice location address for Lake County Tribal Health Consortium, Inc. is 14678 Lakeshore Boulevard, Clearlake, CA and can be reached out via phone at 707-262-8382.

Location: 14678 Lakeshore Boulevard, Clearlake, CA, 95453-1950
institution
Provider Profile Details
NPI Number
1285000810
Provider Name
Lake County Tribal Health Consortium, Inc.
Credential
Provider Entity Type
Organization
Address
14678 Lakeshore Boulevard, Clearlake, CA, 95453-1950
Phone Number
707-262-8382
Fax Number
Provider Enumeration Date
08/18/2015
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
14678 Lakeshore Boulevard
City
State
Zip
95453
Phone Number
707-262-8382
Fax Number
person
Provider Business Mailing Address Details
Address
14678 Lakeshore Boulevard
City
State
Zip
95453
Phone Number
707-262-8382
Fax Number
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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