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General NPI Number Information
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NPI Number | 1346041746
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Entity Type | Organization
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Legal Business Name | UNITED INDIAN HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 2298 NORRIS AVE
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City | CRESCENT CITY
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State | CA
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Zip | 95531-9344
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Country | US
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Telephone | 707-464-2919
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 WEEOT WAY
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City | ARCATA
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State | CA
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Zip | 95521-4734
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Country | US
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Telephone | 707-825-5000
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Fax | 707-825-6747
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | ALYSSA BUIE
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Credential |
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Telephone | 707-825-4182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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