Organization
K'IMA:W MEDICAL CENTER
Active
Other names
Hoopa Health Association, Kima-w Medical Center, K'ima:w Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WICKARD CFO (CHIEF FINANCIAL OFFICER)
(530) 625-4261
Entity
Organization
Contact information
Practice address
535 AIRPORT RD, HOOPA, CA 95546-9615
(530) 625-4261
(530) 625-9308
Mailing address
535 AIRPORT RD, HOOPA, CA 95546-9615
(530) 625-4261
(530) 625-5171
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
EXEMPT INDIAN TRIBE
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005540
BC COUNTY MEDICAID
CA
01
—
0533922
PHARMACY NABP
CA
01
—
05D0699458
CLIA
CA
01
—
EAP11573F
EAPC
CA
01
—
PHE43666
PHARMACY
CA
01
—
PHE436660
PHARMACY MEDICAID NUMBER
CA
05
—
THP11573F
—
CA
Enumeration date
12/04/2006
Last updated
05/07/2026
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