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NPI Code Detail

MEDICARE: UNITED INDIAN HEALTH SERVICES, INC.

MEDICARE: UNITED INDIAN HEALTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1346041746
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNITED INDIAN HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 1600 WEEOT WAY
Second Line :
City : ARCATA
State : CA
Zip : 95521-4734
Country : US
Telephone Number : 707-825-5000
Fax Number : 707-825-6747
Provider Business Practice Location Address
First Line : 2298 NORRIS AVE
Second Line :
City : CRESCENT CITY
State : CA
Zip : 95531-9344
Country : US
Telephone Number : 707-464-2919
Fax Number :
Authorized Official
Title or Position : CREDENTIALING COORDINATOR
Name : ALYSSA BUIE
Credential :
Telephone Number : 707-825-4182
Provider Enumeration Date : 03/21/2025
Last Update Date : 03/21/2025

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Directions to “UNITED INDIAN HEALTH SERVICES, INC. ” Practice Location

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