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Organization
KARUK TRIBE
Active
Organization
KARUK TRIBE
Active
Other names
KARUK ORLEANS MEDICAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
EILEEN MARY TIRATERRA (BUSINESS OFFICE DIRECTOR)
(530) 493-1600
Entity
Organization
Contact information
Practice address
325 ASIP RD, ORLEANS, CA 95556-0249
(530) 627-3452
(503) 627-3445
Mailing address
PO BOX 1016, HAPPY CAMP, CA 96039-1016
(530) 493-1600
(530) 493-1648
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386726032
MEDICARE
CA
05
—
1386726032
—
CA
01
—
ZZZ09862Z
BLUE SHIELD OF CALIFORNIA
—
Enumeration date
10/20/2006
Last updated
01/28/2025
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