| NPI | 1891762985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDI GIBBS Business Services Manager 530-335-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: CA 230000179) |
| Additional Taxonomies | 332800000X Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy |
| 261QC1500X Clinic/Center, Community Health (Licence: CA 230000179) | |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2023-01-25 |