CHAPA-DE INDIAN HEALTH PROGRAM, INC. – NPI #1174653059
Clinic/Center

CHAPA-DE INDIAN HEALTH PROGRAM, INC. is an AHC clinic located in WOODLAND, CA. NPPES has assigned the NPI number 1174653059 to CHAPA-DE INDIAN HEALTH PROGRAM, INC. on March 07, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. CHAPA-DE INDIAN HEALTH PROGRAM, INC. is also known by the name WOODLAND CLINIC. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 15 years ago on Nov 02, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHAPA-DE INDIAN HEALTH PROGRAM, INC. below.

NPI Profile for
CHAPA-DE INDIAN HEALTH PROGRAM, INC.

NPI Number
1174653059
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHAPA-DE INDIAN HEALTH PROGRAM, INC.
Other Name: WOODLAND CLINIC
Primary location
175 W COURT ST
WOODLAND, CA 95695-2913
Phone: (530) 887-2800 Fax: (530) 887-2807
Mailing address
11670 ATWOOD RD
AUBURN, CA 95603-9522
Phone: (530) 887-2800 Fax: (530) 887-2807
Organization Subpart
No
Authorized Official
SIERK HAITSMA
CHIEF FINANCIAL OFFICER
Phone: (530) 887-2841
Updated
Identifiers

Identifiers for CHAPA-DE INDIAN HEALTH PROGRAM, INC.

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDCATHP70647F
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
CA 030000513

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.