Organization
AMERICAN INDIAN HEALTH & SERVICES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEONNA ELIZABETH PEREZ (COO)
(805) 603-4059
Entity
Organization
Contact information
Practice address
4141 STATE ST STE B11, SANTA BARBARA, CA 93110-1898
(805) 681-7356
(805) 681-7358
Mailing address
3227 STATE ST, SANTA BARBARA, CA 93105-3328
(805) 681-7356
(805) 681-7358
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
50000515
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70786F
CANCER DETECTION PROGRAM
CA
01
—
EAP70786F
EAPC PROGRAM
CA
05
—
FHC70786F
—
CA
Enumeration date
06/12/2006
Last updated
09/06/2022
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