NPIMap

Organization Active NPI

Hupa Health Association, Inc.

  • Clinic/Center
  • Hoopa, CA
National Provider Identifier
1326217829
Registry record updated Jun 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
EXEMPT INDIAN TRIBE Issued in CA
Legal business name
HUPA HEALTH ASSOCIATION, INC.
Practice address
535 Airport Rd Ste 104
Hoopa, CA 95546-9615
Phone
(530) 625-4585
Fax
(530) 625-4312
NPI assigned
Feb 28, 2008
Organization subpart
Yes
Parent organization
K'IMA:W MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2022

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

Authorized official

Name
Dr. Stephen Stake, DRPH, MHS, CPH
Title
Interim Ceo
Phone
(530) 625-4261

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X EXEMPT INDIAN TRIBE CA Primary

Addresses

Primary practice location

535 Airport Rd Ste 104
Hoopa, CA 95546-9615

Mailing address

535 Airport Rd Ste 104
Hoopa, CA 95546-9615
Phone (530) 625-4585

Other practice location 1

1200 Airport Rd
Hoopa, CA 95546-1288
Phone (530) 625-4114 ext. 238

Other identifiers 1

IdentifierTypeStateIssuer
PHA436660MedicaidCA

Other names 2

  • Kimaw Medical Center Pharmacy Doing business as
  • HOOPA HEALTH ASSOCIATION Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Kima-W Medical Center4 organizations share this tax ID, including this one
Part of
Kima-W Medical Center

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654819200000",
    "number": "1326217829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 AIRPORT RD STE 104",
            "city": "HOOPA",
            "state": "CA",
            "postal_code": "955469615",
            "telephone_number": "530-625-4585",
            "fax_number": "530-625-4312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 AIRPORT RD STE 104",
            "city": "HOOPA",
            "state": "CA",
            "postal_code": "955469615",
            "telephone_number": "530-625-4585",
            "fax_number": "530-625-4312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 AIRPORT RD",
            "address_purpose": "LOCATION",
            "city": "Hoopa",
            "state": "CA",
            "postal_code": "955461288",
            "country_code": "US",
            "telephone_number": "530-625-4114 x238",
            "fax_number": "530-625-4312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HUPA HEALTH ASSOCIATION, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "K'IMA:W MEDICAL CENTER",
        "enumeration_date": "2008-02-28",
        "last_updated": "2022-06-10",
        "certification_date": "2022-06-10",
        "status": "A",
        "authorized_official_last_name": "STAKE",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "INTERIM CEO",
        "authorized_official_telephone_number": "530-625-4261",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DRPH, MHS, CPH"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "EXEMPT INDIAN TRIBE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA436660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kimaw Medical Center Pharmacy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HOOPA HEALTH ASSOCIATION",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "HOOPA HEALTH ASSOCIATION",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hoopa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2022; 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.