Organization
GREENVILLE RANCHERIA
Active
Other names
Greenville Rancheria Tribal Health
Organization subpart
No
Provider details
NPI number
Authorized official
PATTY ALLEN (FISCAL OFFICER)
(530) 284-7990
Entity
Organization
Contact information
Practice address
410 MAIN STREET, GREENVILLE, CA 95947-0279
(530) 284-6135
(530) 284-7594
Mailing address
PO BOX 279, GREENVILLE, CA 95947-0279
(530) 284-7990
(530) 284-7299
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THP70390G
—
CA
Enumeration date
08/30/2005
Last updated
03/12/2009
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