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Organization

LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.

Active
Other names
Tribal Health Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ERNESTO PADILLA (EXECUTIVE DIRECTOR)
(707) 263-0329
Entity
Organization

Contact information

Practice address
359 LAKEPORT BLVD, LAKEPORT, CA 95453-5412
(707) 533-2700
(707) 263-5400
Mailing address
PO BOX 1950, LAKEPORT, CA 95453-1950
(707) 263-8382
(707) 263-0329

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Enumeration date
02/03/2015
Last updated
04/27/2022
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