TUOLUMNE ME-WUK INDIAN HEALTH CENTER (NPI# 1912975822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912975822 |
| Entity Type | Organization |
| Organization Name | TUOLUMNE ME-WUK INDIAN HEALTH CENTER |
| Practice Address |
18880 Cherry Valley Blvd Tuolumne City CA 95379 |
| Practice Telephone | 2099289480 |
| Practice Fax Number | 2099289487 |
| Mailing Telephone | 2099289480 |
| Mailing Fax Number | 2099289487 |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MARSHA JOELLYN MCKAY (MEDICAL DOCTOR) |
| Authorized Official Telephone | 2099289480 |
| Authorized Official Credential | D.O |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
CA | Ambulatory Health Care Facilities |
| Street Address |
18880 CHERRY VALLEY BLVD |
| City | TUOLUMNE CITY |
| State | CA |
| Zip Code | 95379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538651104 | Spring Gennay Maddox | Advanced Practice Midwife | 18400 Chestnut Ave, Tuolumne, CA 95379 | 2018-05-31 |
| 1407381965 | Betty Cardoza | Counselor | 18670 Carter Street, Tuolumne, CA 95379 | 2017-04-21 |
| 1679732432 | Mark Glenn Maddox | Dentist | 18400 Chestnut St, Tuolumne, CA 95379 | 2008-06-06 |
| 1265476964 | Cassandra Blackwell | Physician Assistant | 18880 Cherry Valley Blvd., Tuolumne, CA 95379 | 2006-06-15 |
| 1215982632 | Gary Robert Lancaster | Psychologist | 18396 Tuolumne Road, Suite 9, Tuolumne, CA 95379 | 2006-05-24 |
| 1396722773 | Kitty B Haspel | Social Worker | 18382 Tuolumne Road, Toulumne, CA 95379-2080 | 2005-12-28 |
| 1861472060 | Janet L Black | Social Worker | 18382 Tuolumne Rd, Ste 9, Tuolumne, CA 95379-2080 | 2006-01-23 |
| 1265436703 | Haven Richard Doane | Dentist | 18670 Carter St, M.a.c.t. Health Board Inc. Indian Dental Clinic, Tuolumne, CA 95379-9637 | 2005-06-13 |
| 1487650701 | Dennis Charles Dryden | Dentist | 18670 Carter St, Tuolumne, CA 95379-9637 | 2005-06-22 |
| 1285063362 | Seth Holm | Registered Nurse | 20615 Ponderosa Way, Tuolumne, CA 95379-9735 | 2013-11-08 |
| Find all providers in zip 95379 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | TUOLUMNE CITY |
| Zip Code | 95379 |
Please comment or provide details below to improve the information on TUOLUMNE ME-WUK INDIAN HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.