Chapa-De Indian Health

LBN: Chapa-De Indian Health Program Inc
Chapa-De Indian Health is an health care organization with primary practice located at 11670 Atwood Rd , Auburn CA 95603-9522. The organization recently has 2 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Chapa-De Indian Health Program Inc can be contacted via phone (530) 887-2836, or through Davies, Lisa via phone (530) 887-2800.

Contact Information

Primary practice address
11670 Atwood Rd Auburn CA 95603-9522
Phone: (530) 887-2836
Fax: (530) 889-2971
Website:
Map and Directions
Authorized official contact:
Name: Davies, Lisa
Phone: (530) 887-2800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X PHY39899 California
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1508882911
LBN Legal business name Chapa-De Indian Health Program Inc
DBA Doing business as Chapa-De Indian Health
Authorized official Davies, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2006
Last updated May 16th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508882911 NPPES
Other 1992616 PK
MEDICAID THP12027F PK
MEDICAID 1508882911 PK

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