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Contact Information

KARUK TRIBE
64105 HILLSIDE ROAD
HAPPY CAMP, CA96039
 Phone: 530-493-1450
 Fax: 530-493-1451
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for KARUK TRIBE

NPI Number 1952483406
LBN Legal business name KARUK TRIBE
Authorized official EILEEN TIRATERRA - (BUSINESS OFFICE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/20/2006
Last updated 01/30/2025 - More than a year ago
Identifiers
CA Medicaid 1952483406
CA Other ZZZ09861Z BLUE SHIELD OF CALIFORNIA
CA Other 1952483406 MEDICARE
CA Other 1952483406 NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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