| NPI | 1689863516 |
|---|---|
| Former Legal Business Name | URBAN INDIAN HEALTH BOARD |
| Entity Type | Organization |
| Authorized Contact | ADRIAN A MARCUS-FLORES Credentialing & Licensing Associate 510-485-5906 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 140000155) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 261Q00000X Clinic/Center (Licence: CA 140000155) | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2022-03-30 |