KARUK TRIBE – NPI #1952483406
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

KARUK TRIBE is a provider located in HAPPY CAMP, CA. NPPES has assigned the NPI number 1952483406 to KARUK TRIBE on October 20, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. This provider is also associated with 2 additional names listed below. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Jan 30, 2025. 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 KARUK TRIBE below.

NPI Profile for
KARUK TRIBE

NPI Number
1952483406
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
KARUK TRIBE
Other name(s)
All associated names:

Doing Business As (dba)
KARUK COMMUNITY HEALTH CLINIC
Primary location
64105 HILLSIDE ROAD
HAPPY CAMP, CA 96039
Phone: (530) 493-1450 Fax: (530) 493-1451
2 Other location(s):
64100 Hillside Road
Happy Camp, CA 96039
Phone: (530) 493-1650
Fax: (530) 493-5364
64109 Hillside Road
HAPPY CAMP, CA 96039
Phone: (530) 493-5257
Fax: (530) 493-5270
Mailing address
PO BOX 1016
HAPPY CAMP, CA 96039-1016
Phone: (530) 493-5257 Fax: (530) 493-5270
Organization Subpart
No
Authorized Official
EILEEN TIRATERRA
BUSINESS OFFICE DIRECTOR
Phone: (530) 493-1600
Updated
Certification Date
Jan 28, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KARUK TRIBE

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
otherBLUE SHIELD OF CALIFORNIACAZZZ09861Z
otherMEDICARECA1952483406
otherNPICA1952483406
medicaidCA1952483406
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
208D00000X
- General Practice (Primary)		 CA
1223G0001X
- Dentist / General Practice		 CA
1041C0700X
- Social Worker / Clinical		 CA

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.