Warner Mountain Indian Health Project
LBN: Fort Bidwell Indian Community
Warner Mountain Indian Health Project is an health care organization with primary practice located at 132 Mee Thee Uh Road , Fort Bidwell CA 96112. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rural Health, which is considered as the primary health care specialty.
Fort Bidwell Indian Community can be contacted via phone (530) 279-6194, or through Russell, Candice Dawn via phone (530) 279-6194.
Contact Information
Primary practice address
132 Mee Thee Uh Road
Fort Bidwell CA 96112
Phone: (530) 279-6194
Fax: (530) 279-6288
Website:
Authorized official contact:
Name: Russell, Candice Dawn Family Nurse Practitioner (FNP)
Phone: (530) 279-6194
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Rural Health | 261QR1300X |
Profile Details
| NPI number | 1093931107 |
|---|---|
| LBN Legal business name | Fort Bidwell Indian Community |
| DBA Doing business as | Warner Mountain Indian Health Project |
| Authorized official | Russell, Candice Dawn Family Nurse Practitioner (FNP) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Jul 2nd, 2008 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093931107 | NPPES |
| California | MEDICAID | THP70973F | |
| California | Other | O5D0692143 |
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