Organization Name: | INDIAN HEALTH COUNCIL, INC |
NPI Number: | 1861449522 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM GALLAGHER (CFO) |
Mailing Address: | 50100 Golsh Rd Valley Center |
State: | CA US |
Postal Code: | 920825338 |
Phone Number: | 7607491410 |
Fax Number: | 7607495528 |
NPI Enumeration Date: | 05/28/2006 |
NPI Last Update Date: | 12/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QF0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
Taxonomy Definition: |