Organization
KLAMATH TRIBAL HEALTH & FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKOWA NICOLE MENDEZ MHA, BSN, RN, THRP (COMPLIANCE ADMINISTRATOR)
(541) 882-1487
Entity
Organization
Contact information
Practice address
330 CHILOQUIN BLVD, CHILOQUIN, OR 97624
(541) 783-2438
(541) 783-3273
Mailing address
3949 SOUTH 6TH STREET, KLAMATH FALLS, OR 97603-4746
(541) 882-1487
(541) 882-8277
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129861
—
OR
Enumeration date
07/26/2005
Last updated
03/13/2023
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