National Provider Identifier Database

LAKE COUNTY TRIBAL HEALTH CONSORTIUM INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.
14678 LAKESHORE BOULEVARD
CLEARLAKE, CA95453
Phone: 707-262-8382
Fax:
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X

* Indicates primary specialty

NPI Profile & details for LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.

NPI Number 1285000810
Legal business name
LBN
LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.
Authorized official ERNESTO PADILLA - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/18/2015
Last updated 04/02/2024 - About 2 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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