Organization
SANTA YNEZ BAND OF MISSION INDIANS
Active
Organization
SANTA YNEZ BAND OF MISSION INDIANS
Active
Other names
Santa Ynez Tribal Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER JASSO (FINACIAL SERVICES MANAGER)
(805) 688-7070
Entity
Organization
Contact information
Practice address
90 VIA JUANA LANE, SANTA YNEZ, CA 93460-9405
(805) 688-7070
(805) 686-2060
Mailing address
PO BOX 539, SANTA YNEZ, CA 93460-0539
(805) 688-7070
(805) 686-2060
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70024F
—
CA
01
—
ZZZ-540482
BLUE SHIELD GROUP NUMBER
CA
Enumeration date
02/13/2006
Last updated
09/18/2013
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