institution
Chapa-de Indian Health Program, Inc.
Federally Qualified Health Center (FQHC) in Grass Valley, California
NPI 1922138841

Chapa-de Indian Health Program, Inc. is a Federally Qualified Health Center (FQHC) based in Auburn, CA and is specialized in Federally Qualified Health Center (FQHC). Chapa-de Indian Health Program, Inc. practices in Grass Valley, CA. The NPI Number for Chapa-de Indian Health Program, Inc. is 1922138841 and holds a License No. 230000303 (California).

The current practice location address for Chapa-de Indian Health Program, Inc. is 1350 E Main St, Grass Valley, CA and can be reached out via phone at 530-477-8545 and via fax at 530-477-9217.

Location: 1350 E Main St, Grass Valley, CA, 95603-9522
institution
Provider Profile Details
NPI Number
1922138841
Provider Name
Chapa-de Indian Health Program, Inc.
Credential
Provider Entity Type
Organization
Address
1350 E Main St, Grass Valley, CA, 95603-9522
Phone Number
530-477-8545
Fax Number
530-477-9217
Provider Enumeration Date
03/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
THP80244F 05 CA
institution
Provider Business Practice Location Address Details
Address
1350 E Main St
City
State
Zip
95945-5208
Phone Number
530-477-8545
Fax Number
530-477-9217
person
Provider Business Mailing Address Details
Address
1350 E Main St
City
State
Zip
95945-5208
Phone Number
530-477-8545
Fax Number
530-477-9217
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
230000303 (California)
Definition
Definition to come...
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