Organization
CHAPA-DE INDIAN HEALTH PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANN MASSUERE (CHIEF FINANCIAL OFFICER)
(530) 887-2800
Entity
Organization
Contact information
Practice address
11670 ATWOOD RD, AUBURN, CA 95603-9522
(530) 887-2800
(530) 887-2807
Mailing address
11670 ATWOOD RD, AUBURN, CA 95603-9522
(530) 887-2800
(530) 887-2807
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BCP12027F
—
CA
Enumeration date
03/09/2007
Last updated
03/08/2010
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