Organization
COLUSA INDIAN COMMUNITY COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CATRINA MARIE ROSS (DIRECTOR OF CLINIC OPERATIONS)
(530) 458-6542
Entity
Organization
Contact information
Practice address
516 JAY ST, COLUSA, CA 95932-2436
(530) 458-2020
(530) 458-8660
Mailing address
3710 HIGHWAY 45, COLUSA, CA 95932-4026
(530) 458-6542
(530) 458-8660
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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