Organization
NORTHERN VALLEY INDIAN HEALTH, INC
Active
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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