Organization
HALOULUWIWUDUK
Active
Parent organization
WIYOT TRIBE
Organization subpart
Yes
Provider details
NPI number
Legal business name
WIYOT TRIBE
Authorized official
MR. JOHN R REEVES III MHA (MANAGER)
(808) 214-7269
Entity
Organization
Contact information
Practice address
1000 WIYOT DR, LOLETA, CA 95551-9640
(707) 733-5055
Mailing address
1000 WIYOT DR, LOLETA, CA 95551-9640
(707) 733-5055
(707) 733-5601
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/22/2026
Last updated
04/22/2026
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