# CONSOLIDATED TRIBAL HEALTH PROJECT, INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902913486
- **Authorized official:** GEORGE PROVENCHER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (707) 485-5115

## Contact information

- **Practice address:** 6991 N STATE ST, REDWOOD VALLEY, CA 95470-9629
- **Practice address phone:** (707) 485-5115
- **Practice address fax:** (707) 485-7837
- **Mailing address:** 947 N OAK ST, UKIAH, CA 95482-3905
- **Mailing address phone:** (707) 485-5115
- **Mailing address fax:** (707) 485-7837

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 44306 | CA | Yes |

## Other

- **Enumeration date:** 08/23/2006
- **Last updated:** 08/22/2020