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Colusa Indian Community Council

Organization Active NPI Dental Clinic/Center · Colusa, CA

NPI 1053880245 · NPPES record last updated Nov 16, 2018

Key facts

NPI
1053880245
Entity type
Organization (NPI type 2)
Primary specialty
Dental Clinic/Center 261QD0000X
Legal business name
COLUSA INDIAN COMMUNITY COUNCIL
Practice address
360 5TH St
Colusa, CA 95932-2467
Phone
(530) 458-3614
Fax
(530) 458-4047
NPI assigned
Nov 16, 2018
Organization subpart
Yes
Parent organization (as reported)
COLUSA INDIAN COMMUNITY COUNCIL

Authorized official

Name
Catrina Marie Ross
Title
Director of Clinic Operations
Phone
(530) 458-6542

Corporate family (same tax ID) 4

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
Colusa Indian Health CL (5 organizations share this tax ID)
Part of
Colusa Indian Health CL

Locations

360 5th St
Colusa, CA 95932
Phone (530) 458-0346

3710 State Highway 45
Colusa, CA 95932
Phone (530) 458-5501

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Yes

Addresses

Primary practice location

360 5TH St
Colusa, CA 95932-2467

Mailing address

3710 Highway 45
Colusa, CA 95932-4026
Phone (530) 458-6542

Other names

  • Colusa Indian Dental Clinic Doing business as

Other providers in Colusa, CA

All providers in Colusa, CA · Dental Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.