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NPI Code Detail

MEDICARE: SONOMA COUNTY INDIAN HEALTH PROJECT, INC

MEDICARE: SONOMA COUNTY INDIAN HEALTH PROJECT, 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
1333600000XPharmacyPHY45307CA
23336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10557910OTHERCANCPDP #
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1568461267
Entity Type Code : Organization
Provider Name (Legal Business Name) : SONOMA COUNTY INDIAN HEALTH PROJECT, INC
Provider Business Mailing Address
First Line : 144 STONY POINT RD
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4122
Country : US
Telephone Number : 707-521-4585
Fax Number : 707-521-4599
Provider Business Practice Location Address
First Line : 144 STONY POINT RD
Second Line :
City : SANTA ROSA
State : CA
Zip : 95401-4122
Country : US
Telephone Number : 707-521-4585
Fax Number : 707-521-4599
Authorized Official
Title or Position : INTERIM CEO
Name : BETTY ARTERBERRY
Credential :
Telephone Number : 707-521-4660
Provider Enumeration Date : 07/15/2005
Last Update Date : 08/09/2023

Similar Medicare Providers

1265457980 — SONOMA COUNTY INDIAN HEALTH PROJECT, INC
Practice Location Address:
144 STONY POINT RD
SANTA ROSA, CA
95401-4122
Practice Phone: 707-521-4630
Practice Fax: 707-526-1016
1518965771 — JENNIFER L BETTS MD
Practice Location Address:
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1912906629 — MRS. CRISTIE PELLEGRINI BS PHARMACY
Practice Location Address:
144 STONY POINT RD
SANTA ROSA, CA
95401-4122
Practice Phone: 707-521-4590
Practice Fax: 707-521-4599
1528067030 — MR. STANLEY A GREEN R. PH.
Practice Location Address:
144 STONY POINT RD
SANTA ROSA, CA
95401-4122
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Practice Fax: 707-521-4599
1164489571 — DR. LINDA G FUNDERBURG M.D.
Practice Location Address:
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SANTA ROSA, CA
95401-4122
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Practice Fax:
1487688941 — LAMBERT N DANIEL MD
Practice Location Address:
144 STONY POINT RD
SANTA ROSA, CA
95401-4122
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Practice Fax: 707-544-4626

Directions to “SONOMA COUNTY INDIAN HEALTH PROJECT, INC ” Practice Location

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