TUOLUMNE ME-WUK INDIAN HEALTH CENTER
Medical Equipment Supplier Yellow Pages
Tuolumne, California
Provider NPI: 1699881540
Organization Information:Organization Name: TUOLUMNE ME-WUK INDIAN HEALTH CENTER
Practice Location:
18880 CHERRY VALLEY BLVD. TUOLUMNE, CA 95379 US
Tel: 209-928-5400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
18880 CHERRY VALLEY BLVD. TUOLUMNE, CA 95379 US
Tel: 209-928-5400 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 332800000X | Suppliers Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy | ||
Y | 3336C0003X | Suppliers Pharmacy | CA | PHY48230 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
PK | 2115109 | 01 | |
PHA482300 | CA | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin