Chemehuevi Indian Tribe | |
1970 Palo Verde Drive Havasu Lake CA 92363-1976 | |
(760) 858-5426 | |
Not Available |
Full Name | Chemehuevi Indian Tribe |
---|---|
Speciality | Clinic/center |
Location | 1970 Palo Verde Drive, Havasu Lake, California |
Authorized Official Name and Position | Glenn Lodge (TRIBAL CHAIRMAN) |
Authorized Official Contact | 7608584219 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Chemehuevi Indian Tribe Po Box 1976 Havasu Lake CA 92363-1976 Ph: (760) 858-4219 | Chemehuevi Indian Tribe 1970 Palo Verde Drive Havasu Lake CA 92363-1976 Ph: (760) 858-5426 |
NPI Number | 1144910753 |
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Provider Enumeration Date | 05/09/2023 |
Last Update Date | 05/09/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144910753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Chemehuevi Health Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1970 Palo Verde, Havasu Lake, CA 92363 Phone: 760-858-4790 Fax: 928-669-3232 |