| Santa Ynez Tribal Health Clinic | |
|
90 Via Juana Lane Santa Ynez CA 93460-9405 | |
| (805) 688-7070 | |
| (805) 686-2060 |
| Full Name | Santa Ynez Tribal Health Clinic |
|---|---|
| Speciality | Clinic/Center |
| Location | 90 Via Juana Lane, Santa Ynez, California |
| Authorized Official Name and Position | Jennifer Jasso (FINACIAL SERVICES MANAGER) |
| Authorized Official Contact | 8056887070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Ynez Tribal Health Clinic Po Box 539 Santa Ynez CA 93460-0539 Ph: (805) 688-7070 | Santa Ynez Tribal Health Clinic 90 Via Juana Lane Santa Ynez CA 93460-9405 Ph: (805) 688-7070 |
| NPI Number | 1992779417 |
|---|---|
| Provider Enumeration Date | 02/13/2006 |
| Last Update Date | 09/18/2013 |
| Medicare PECOS PAC ID | 7618966516 |
|---|---|
| Medicare Enrollment ID | O20040506001569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992779417 | NPI | - | NPPES |
| FHC70024F | Medicaid | CA | |
| ZZZ-540482 | Other | CA | BLUE SHIELD GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |