Organization
HUPA HEALTH ASSOCIATION, INC.
Active
Parent organization
K'IMA:W MEDICAL CENTER
Other names
Kimaw Medical Center Pharmacy, HOOPA HEALTH ASSOCIATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
K'IMA:W MEDICAL CENTER
Authorized official
DR. STEPHEN STAKE DRPH, MHS, CPH (INTERIM CEO)
(530) 625-4261
Entity
Organization
Contact information
Practice address
535 AIRPORT RD STE 104, HOOPA, CA 95546-9615
(530) 625-4585
(530) 625-4312
Mailing address
535 AIRPORT RD STE 104, HOOPA, CA 95546-9615
(530) 625-4585
(530) 625-4312
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
EXEMPT INDIAN TRIBE
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA436660
—
CA
Enumeration date
02/28/2008
Last updated
06/10/2022
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