NPI Code Details Logo

NPI 1417809492

NPI 1417809492 : HAPPY CAMP COMMUNITY ACTION, INC. : HAPPY CAMP, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1417809492
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HAPPY CAMP COMMUNITY ACTION, INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    02/11/2026
-----------------------------------------------------
    Last Update Date     |    02/11/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    38 PARK WAY 
-----------------------------------------------------
    City                 |    HAPPY CAMP
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    96039-8079
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    530-493-5117
-----------------------------------------------------
    Fax                  |    530-493-2044
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    38 PARK WAY 
-----------------------------------------------------
    City                 |    HAPPY CAMP
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    96039-8079
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    530-493-5117
-----------------------------------------------------
    Fax                  |    530-493-2044
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    EXECUTIVE DIRECTOR
-----------------------------------------------------
    Name                 |     ABIGAIL  YEAGER 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    530-493-2505
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    172V00000X
-----------------------------------------------------
    Taxonomy Name        |    Community Health Worker
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.