National Provider Identifier Database

KARUK TRIBE
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.


Contact Information

KARUK TRIBE
64105 HILLSIDE ROAD
HAPPY CAMP, CA96039
Phone: 530-493-1450
Fax: 530-493-1451
Website:
Specialty Taxonomy Code
* General Practice 208D00000X
Clinical 1041C0700X
General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for KARUK TRIBE

NPI Number 1952483406
Legal business name
LBN
KARUK TRIBE
Authorized official EILEEN TIRATERRA - (BUSINESS OFFICE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/20/2006
Last updated 01/30/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: 1952483406
  • CA Other: ZZZ09861Z BLUE SHIELD OF CALIFORNIA
  • CA Other: 1952483406 MEDICARE
  • CA Other: 1952483406 NPI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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