Organization
NORTHERN VALLEY INDIAN HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARISSA TAMBLE (FISCAL MANAGMENT DIRECTOR)
(530) 934-9293
Entity
Organization
Contact information
Practice address
2500 MAIN ST, RED BLUFF, CA 96080-2336
(530) 529-2567
(530) 529-2552
Mailing address
207 N BUTTE ST, WILLOWS, CA 95988-2803
(530) 934-9293
(530) 934-2204
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
230000357
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THP71054F
—
CA
Enumeration date
02/22/2007
Last updated
07/22/2013
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