Klamath Tribal Health & Family Services

LBN: Klamath Tribal Health & Family Services
Klamath Tribal Health & Family Services is an health care organization with primary practice located at 330 Chiloquin Blvd , Chiloquin OR 97624. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Klamath Tribal Health & Family Services can be contacted via phone (541) 783-2438, or through Mendez, Nikowa Nicole via phone (541) 882-1487.

Contact Information

Primary practice address
330 Chiloquin Blvd Chiloquin OR 97624
Phone: (541) 783-2438
Fax: (541) 783-3273
Website:
Map and Directions
Authorized official contact:
Name: Mendez, Nikowa Nicole MHA, BSN, RN, THRP
Phone: (541) 882-1487

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1629078274
LBN Legal business name Klamath Tribal Health & Family Services
DBA Doing business as
Authorized official Mendez, Nikowa Nicole MHA, BSN, RN, THRP
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2005
Last updated Mar 13th, 2023 - about 3 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 1629078274 NPPES
Oregon MEDICAID 129861

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