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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
2133N00000XNutritionist
3152W00000XOptometrist
4251S00000XCommunity/Behavioral Health Agency
5261QC1500XCommunity Health Clinic/Center11000347CA
6261QD0000XDental Clinic/Center
7261QP2300XPrimary Care Clinic/Center

General Provider Information

NPI Number : 1497751572
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 : 1600 WEEOT WAY
Second Line :
City : ARCATA
State : CA
Zip : 95521-4734
Country : US
Telephone Number : 707-825-5000
Fax Number : 707-825-6747
Authorized Official
Title or Position : CFO
Name : CECIL PAUL WILSON
Credential :
Telephone Number : 707-825-4065
Provider Enumeration Date : 06/23/2005
Last Update Date : 08/24/2022

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

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