Organization
SHINGLE SPRINGS RANCHERIA
Active
Other names
Shingle Springs Health and Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA CUELLAR (TRIBAL CHAIR)
(530) 387-4970
Entity
Organization
Contact information
Practice address
5168 HONPIE RD, PLACERVILLE, CA 95667
(530) 387-4975
(530) 387-8006
Mailing address
PO BOX 1340, SHINGLE SPRINGS, CA 95682
(530) 387-4975
(530) 672-1507
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
03000545
CA
Other
Enumeration date
03/21/2007
Last updated
05/01/2024
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