Healthcare Provider Details

I. General information

NPI: 1629130240
Provider Name (Legal Business Name): FEATHER RIVER TRIBAL HEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/14/2006
Last Update Date: 09/04/2025
Certification Date: 09/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2145 5TH AVENUE
OROVILLE CA
95965
US

IV. Provider business mailing address

2145 5TH AVE
OROVILLE CA
95965-5870
US

V. Phone/Fax

Practice location:
  • Phone: 530-534-3793
  • Fax: 530-534-3820
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ERIK LYON
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 530-534-5394