Organization
BLUE LAKE RANCHERIA
Active
Organization
BLUE LAKE RANCHERIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON RAMOS DC (TRIBAL ADMINSTRATOR)
(707) 668-7226
Entity
Organization
Contact information
Practice address
428 CHARTIN RD, BLUE LAKE, CA 95525-9722
(707) 668-5101
(707) 668-7226
Mailing address
PO BOX 428, BLUE LAKE, CA 95525-0428
(707) 668-7226
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
332U00000X
Home Delivered Meals
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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