Organization
K'IMA: W MEDICAL CENTER
Active
Parent organization
K'IMA:W MEDICAL CENTER
Other names
Hoopa Health Association
Organization subpart
Yes
Provider details
NPI number
Legal business name
K'IMA:W MEDICAL CENTER
Authorized official
MIHAIL SOARE (CLINICAL DIRECTOR/CEO)
(530) 625-4261
Entity
Organization
Contact information
Practice address
1200 AIRPORTROAD, HOOPA, CA 95546-1288
(530) 625-4261
(530) 625-9308
Mailing address
535 AIRPORT ROAD, PO BOX 1288, HOOPA, CA 95546-1288
(530) 625-4261
(530) 625-9308
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
EXEMPT INDIAN TRIBE
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EAP11573F
—
CA
Enumeration date
02/29/2008
Last updated
05/23/2019
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