COLUSA INDIAN HEALTH CLINIC
NPI 1144582925
Nurse Practitioner - Family in Colusa, CA
- Organization
- Nurse Practitioner
- Family
- CLIA Number: 05D0985302
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-03-2026
About COLUSA INDIAN HEALTH CLINIC
This page provides the complete NPI Profile along with additional information for Colusa Indian Health Clinic, a provider established in Colusa, California operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1144582925 assigned on June 2012. The practitioner's primary taxonomy code is 363LF0000X with license number 021859 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. Colusa Indian Health Clinic operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mark Sprague (Director Of Clinic Operations)
- NPI
- 1144582925 Verify this NPI
- Provider Name
- COLUSA INDIAN HEALTH CLINIC
- Entity Type
- Organization
- Location Address
- 3710 HIGHWAY 45 COLUSA, CA 95932
- Location Phone
- (530) 458-5501
- Location Fax
- (530) 458-8660
- Mailing Address
- 3710 HIGHWAY 45 COLUSA, CA 95932
- Mailing Phone
- (530) 458-5501
- Mailing Fax
- (530) 458-8660
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 06-08-2012
- Last Update Date
- 06-08-2012
- Code Navigator
A nurse practitioner (NP) like Colusa Indian Health Clinic is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- 021859
- License State
- CA
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D0985302
- Facility Type
- Physician Office
- Certificate Effective Date
- October 04, 2024
- Certificate Expiration Date
- October 03, 2026
- Laboratory Director
- JAMES T. BARRETT MD
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Colusa Indian Health Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
COLUSA, CA 95932
COLUSA, CA 95932
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144582925, enumerated as an "organization" on June 08, 2012.
The provider is located at 3710 HIGHWAY 45 COLUSA, CA 95932 and the phone number is (530) 458-5501.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
