NPI Provider: 1588660104
Contact Name: SIMONE J JEROME
Position: CHIEF EXECUTIVE OFFICER
Phone: (707) 825-5000
United Indian Health Service – Fortuna Information:
United Indian Health Service – Fortuna organization have npi 1588660104, taxonomy code is 261QC1500X with license number is 11000347 in . This Business address located in 1600 Weeot Way, Arcata, CA 95521 California.
Practice Location
Address: 940 Main St, Fortuna, CA 95540
Phone: (707) 725-7988
Business Location
Address: 1600 Weeot Way, Arcata, CA 95521
Phone: (707) 825-5000
Fax: (707) 825-5089
Taxonomy
Taxonomy Code: 261QC1500X
License Number: 11000347
License Number of State: CA
Primary Taxonomy Switch: Y
Enumeration Date: 6/28/2005
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