Southern Indian Health Council

LBN: Southern Indian Health Council Inc
Southern Indian Health Council is an health care organization with primary practice located at 36350 Church Rd , Campo CA 91906-2715. The organization recently has 3 registered licenses in different health care specialties including Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy, Suppliers / Pharmacy, Suppliers / Community/Retail Pharmacy. Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy is the primary health care specialty. Southern Indian Health Council Inc can be contacted via phone (619) 478-2225, or through Garcia, Dean via phone (619) 445-1188.

Contact Information

Primary practice address
36350 Church Rd Campo CA 91906-2715
Phone: (619) 478-2225
Fax: (619) 478-2323
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Dean RPH
Phone: (619) 445-1188

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy 332800000X PHE43448 California
Suppliers / Pharmacy 333600000X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1417026758
LBN Legal business name Southern Indian Health Council Inc
DBA Doing business as Southern Indian Health Council
Authorized official Garcia, Dean RPH
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2006
Last updated Oct 4th, 2017 - about 7 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 1417026758 NPPES
Other 2113505 PK
MEDICAID PHA434480 PK

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