| Chapa-de Indian Health Program | |
|
11670 Atwood Rd Auburn CA 95603-9522 | |
| (530) 887-2840 | |
| (530) 887-2202 |
| Full Name | Chapa-de Indian Health Program |
|---|---|
| Speciality | Clinic/center |
| Location | 11670 Atwood Rd, Auburn, California |
| Authorized Official Name and Position | Elizabeth Jean Stevenson (NURSE EDUCATOR) |
| Authorized Official Contact | 5308872840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chapa-de Indian Health Program 11670 Atwood Rd Auburn CA 95603-9522 Ph: (530) 887-2840 | Chapa-de Indian Health Program 11670 Atwood Rd Auburn CA 95603-9522 Ph: (530) 887-2840 |
| NPI Number | 1366567869 |
|---|---|
| Provider Enumeration Date | 03/21/2007 |
| Last Update Date | 11/17/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366567869 | NPI | - | NPPES |
| 354030 | Other | CA | RN LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 354030 (California) | Primary |
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