Lake County Tribal Health Consortium Inc
Doing business as Lake County Tribal Health Consortium
Federally qualified health center in Lakeport, CA, Medicare certification number 051946.
Medicare certification
Provider of Services- CCN
- 051946
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Mar 1, 1995
- Last certification
- Mar 1, 1995
- Address
- 925 Bevins Court
Lakeport, CA 95453
(707) 263-8382
NPI records for this facility (CCN to NPI Mapping) 1
-
- Federally Qualified Health Center (FQHC)
- Lakeport, CA
- NPI 1881697381
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.