Organization
UNITED INDIAN HEALTH SERVICES, INC.
Active
Other names
Potawot Health Village
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL PAUL WILSON (CFO)
(707) 825-4065
Entity
Organization
Contact information
Practice address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-5000
(707) 825-6747
Mailing address
1600 WEEOT WAY, ARCATA, CA 95521-4734
(707) 825-5000
(707) 825-6747
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
133N00000X
Nutritionist
—
—
152W00000X
Optometrist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
11000347
CA
261QD0000X
Dental Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/23/2005
Last updated
08/24/2022
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