Organization
INDIAN HEALTH COUNCIL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GALLAGHER CMA (CFO)
(760) 749-1410
Entity
Organization
Contact information
Practice address
50100 GOLSH RD, VALLEY CENTER, CA 92082-5338
(760) 749-1410
(760) 749-5528
Mailing address
PO BOX 406, PAUMA VALLEY, CA 92061-0406
(760) 749-5528
(760) 749-5528
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP11900F
BREAST CANCER DETECTION P
CA
01
—
EAP11900F
EAPC
CA
05
—
FHC11900F
—
CA
01
—
HAP11900F
FAMILY PACT
CA
Enumeration date
05/28/2006
Last updated
12/29/2008
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