DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BLUE LAKE RANCHERIA

Active Organization

BLUE LAKE RANCHERIA is a Clinic/Center organization located in BLUE LAKE, California. NPI 1952120354 is currently active in the NPPES registry. Verify at CMS.

Clinic/Center · BLUE LAKE, CA

Registration Details

NPI Number
1952120354
Provider Type
Organization
NPI Issued
Oct 3, 2024 (1.7191855112412 yrs)
Last Updated
Oct 3, 2024

Practice Information

Address
428 CHARTIN RD
BLUE LAKE, CA, 955259722
Browse CA providers · Browse ZIP 95525
Phone
7076685101
Fax
7076687226
Primary Specialty
Clinic/Center
261Q00000X
Additional Specialty
Community Health Center
Additional Specialty
Adult Mental Health Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.