Organization Active NPI

Yurok Tribe

  • Non-emergency Medical Transport (VAN)
  • Klamath, CA
National Provider Identifier
1184221061
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
YUROK TRIBE
Practice address
190 Klamath Blvd
Klamath, CA 95548-1027
Phone
(707) 482-1350
NPI assigned
Oct 5, 2020
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
YUROK TRIBEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Shoshoni Gensaw-Hostler, AMFT#123921
Title
Behavioral Health Director
Phone
(707) 482-1350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

190 Klamath Blvd
Klamath, CA 95548-1027

Mailing address

PO Box 1027
Klamath, CA 95548-1027
Phone (707) 482-1350

National Provider Directory

National Provider Directory
Part of
Yurok Tribe

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1184221061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "KLAMATH",
            "state": "CA",
            "postal_code": "955481027",
            "telephone_number": "707-482-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 KLAMATH BLVD",
            "city": "KLAMATH",
            "state": "CA",
            "postal_code": "955481027",
            "telephone_number": "707-482-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUROK TRIBE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YUROK TRIBE",
        "enumeration_date": "2020-10-05",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "GENSAW-HOSTLER",
        "authorized_official_first_name": "SHOSHONI",
        "authorized_official_title_or_position": "BEHAVIORAL HEALTH DIRECTOR",
        "authorized_official_telephone_number": "707-482-1350",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AMFT#123921"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Klamath, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.