Organization
CONSOLIDATED TRIBAL HEALTH PROJECT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA GUZMAN MSW (EXECUTIVE DIRECTOR)
(707) 467-5616
Entity
Organization
Contact information
Practice address
6991 N STATE ST, REDWOOD VALLEY, CA 95470-9629
(707) 485-5115
(707) 467-5698
Mailing address
PO BOX 387, CALPELLA, CA 95418-0387
(707) 485-5115
(707) 485-7792
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
110000210
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EAP70442F
EAPC
CA
01
—
HAP70442F
FAMILY PACT
CA
05
—
THP70442F
—
CA
Enumeration date
08/09/2006
Last updated
08/22/2023
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