| Organization Name: | UNITED INDIAN HEALTH SERVICES, INC. |
| NPI Number: | 1588660104 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | VIDA KHOW (CEO) |
| Mailing Address: | 3302 Renner Dr Suite C Fortuna |
| State: | CA US |
| Postal Code: | 955407103 |
| Phone Number: | 7077257988 |
| Fax Number: | 7077258088 |
| NPI Enumeration Date: | 06/28/2005 |
| NPI Last Update Date: | 09/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | 11000347 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |