| NPI | 1811185259 |
|---|---|
| Former Legal Business Name | URBAN INDIAN HEALTH BOARD |
| Entity Type | Organization |
| Authorized Contact | JERUSHA NORMAN Revenue Cycle Supervisor 510-485-5941 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 220000207) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2018-05-15 |