NPI | 1770564049 |
---|---|
Doing Business As | LASSEN INDIAN HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | DEANA BOVEE Tribal Chairman 530-257-6264 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 230000120) |
Enumeration Date | 2005-11-14 |
Last Update Date | 2019-04-04 |