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Organization
UNITED INDIAN HEALTH SERVICES, INC.
Active
Organization
UNITED INDIAN HEALTH SERVICES, INC.
Active
Other names
Xaa-wan'-K'wvt Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL PAUL WILSON (CFO)
(707) 825-4065
Entity
Organization
Contact information
Practice address
501 N INDIAN RD, SMITH RIVER, CA 95567-9509
(707) 487-0215
(707) 487-3003
Mailing address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-5000
(707) 825-6747
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
NULL
261QC1500X
Community Health Clinic/Center
Primary
EXEMPT
CA
261QD0000X
Dental Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
07/08/2016
Last updated
07/14/2022
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