NPIMap

Organization Active NPI

Indian Health Council, Inc

  • Federally Qualified Health Center (FQHC)
  • Valley Center, CA
National Provider Identifier
1861449522
Registry record updated Dec 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
INDIAN HEALTH COUNCIL, INC
Practice address
50100 Golsh Rd
Valley Center, CA 92082-5338
Phone
(760) 749-1410
Fax
(760) 749-5528
NPI assigned
May 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2008

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

Authorized official

Name
William Gallagher, CMA
Title
Cfo
Phone
(760) 749-1410

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X CA Primary

Addresses

Primary practice location

50100 Golsh Rd
Valley Center, CA 92082-5338

Mailing address

PO Box 406
Pauma Valley, CA 92061-0406
Phone (760) 749-5528

Other identifiers 4

IdentifierTypeStateIssuer
FHC11900FMedicaidCA
EAP11900FOtherCAEAPC
HAP11900FOtherCAFAMILY PACT
BCP11900FOtherCABREAST CANCER DETECTION P

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20030221000003 CA Part A Provider - Indian Health Services Facility 5294644795 Practice locations: Valley Center, CA
O20040121000941 CA Part B Supplier - Clinic/Group Practice 5294644795 Receives reassigned benefits from 24 practitioners
Practice locations: Valley Center, CA

Federally qualified health center certification: CCN 551872

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
INDIAN HEALTH COUNCIL, INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 10, 2000
Last certification
Mar 10, 2000
Ownership / control type
For profit – corporation
Facility address
50100 Golsh
Valley Center, CA 92082

National Provider Directory

National Provider Directory

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 26

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

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230508800000",
    "number": "1861449522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 406",
            "city": "PAUMA VALLEY",
            "state": "CA",
            "postal_code": "920610406",
            "telephone_number": "760-749-5528",
            "fax_number": "760-749-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50100 GOLSH RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920825338",
            "telephone_number": "760-749-1410",
            "fax_number": "760-749-5528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDIAN HEALTH COUNCIL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-28",
        "last_updated": "2008-12-29",
        "status": "A",
        "authorized_official_last_name": "GALLAGHER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "760-749-1410",
        "authorized_official_credential": "CMA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC11900F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EAPC",
            "identifier": "EAP11900F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY PACT",
            "identifier": "HAP11900F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BREAST CANCER DETECTION P",
            "identifier": "BCP11900F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Center, CA

Sources for this page

Verify at the official NPI Registry.