Provider Demographics
NPI:1588826374
Name:FEATHER RIVER TRIBAL HEALTH INC
Entity Type:Organization
Organization Name:FEATHER RIVER TRIBAL HEALTH INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HUNZEKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-534-5394
Mailing Address - Street 1:1231 PLUMAS ST
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-3410
Mailing Address - Country:US
Mailing Address - Phone:530-751-8454
Mailing Address - Fax:530-751-8456
Practice Address - Street 1:555 W ONSTOTT RD
Practice Address - Street 2:
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95993
Practice Address - Country:US
Practice Address - Phone:530-751-8454
Practice Address - Fax:530-751-8456
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-02
Last Update Date:2018-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QF0400X
CA230000265261QR1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)
No261QR1300XAmbulatory Health Care FacilitiesClinic/CenterRural Health