Organization Name: | UNITED INDIAN HEALTH SERVICES, INC. |
NPI Number: | 1043216021 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VIDA KHOW (CEO) |
Mailing Address: | 1675 Northcrest Dr Crescent City |
State: | CA US |
Postal Code: | 955318928 |
Phone Number: | 7074642750 |
Fax Number: | 7074642668 |
NPI Enumeration Date: | 06/23/2005 |
NPI Last Update Date: | 06/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | EXEMPT |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |