Organization
MOUNTAIN VALLEYS HEALTH CENTERS
Active
Other names
Tulelake Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON WATKINS (CFO)
(530) 999-9010
Entity
Organization
Contact information
Practice address
498 MAIN STREET, TULELAKE, CA 96134-0725
(530) 999-9060
(530) 667-2562
Mailing address
PO BOX 277, BIEBER, CA 96009-0277
(530) 999-9010
(530) 294-5392
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679645121
—
CA
Enumeration date
11/13/2006
Last updated
07/28/2023
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