| Hupa Health Association, Inc. | |
|
535 Airport Rd Ste 104 Hoopa CA 95546-9615 | |
| (530) 625-4585 | |
| (530) 625-4312 |
| Full Name | Hupa Health Association, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 535 Airport Rd Ste 104, Hoopa, California |
| Authorized Official Name and Position | Stephen Stake (INTERIM CEO) |
| Authorized Official Contact | 5306254261 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hupa Health Association, Inc. 535 Airport Rd Ste 104 Hoopa CA 95546-9615 Ph: (530) 625-4585 | Hupa Health Association, Inc. 535 Airport Rd Ste 104 Hoopa CA 95546-9615 Ph: (530) 625-4585 |
| NPI Number | 1326217829 |
|---|---|
| Provider Enumeration Date | 02/28/2008 |
| Last Update Date | 06/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326217829 | NPI | - | NPPES |
| PHA436660 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | EXEMPT INDIAN TRIBE (California) | Primary |
K'imaw Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 535 Airport Rd, Hoopa, CA 95546 Phone: 530-625-4261 Fax: 530-625-9308 | |
K'ima: W Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Airportroad, Hoopa, CA 95546 Phone: 530-625-4261 Fax: 530-625-9308 | |
Hupa Health Association Inc Ambulance Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 535 Airport Rd, Hoopa, CA 95546 Phone: 530-625-4261 Fax: 530-625-9308 |