Chapa-De Indian Health Program Pharmacy-Grass Valley

LBN: Chapa-De Indian Health Program Inc
Chapa-De Indian Health Program Pharmacy-Grass Valley is an health care organization with primary practice located at 1350 E Main St Pharmacy Dept, Grass Valley CA 95945-5208. 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) 477-5968, or through Davies, Lisa via phone (530) 887-2800.

Contact Information

Primary practice address
1350 E Main St Pharmacy Dept Grass Valley CA 95945-5208
Phone: (530) 477-5968
Fax: (530) 477-8738
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 PHY49917 California
Suppliers / Pharmacy 333600000X

Profile Details

NPI number 1942435946
LBN Legal business name Chapa-De Indian Health Program Inc
DBA Doing business as Chapa-De Indian Health Program Pharmacy-Grass Valley
Authorized official Davies, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2009
Last updated Mar 1st, 2017 - about 9 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 1942435946 NPPES
California MEDICAID 1942435946
California Other 2120323

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