LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.
NPI 1285000810
Clinic/Center - Federally Qualified Health Center (FQHC) in Clearlake, CA
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- CLIA Number: 05D0722889
- CLIA Cert. Type: Other - TRIBAL/IHS JOINT VENTURE
- CLIA Exp. Date: 12-16-2026
About LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.
This page provides the complete NPI Profile along with additional information for Lake County Tribal Health Consortium, Inc., a primary care provider established in Clearlake, California operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1285000810 assigned on August 2015. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Ernesto Padilla (Executive Director)
- NPI
- 1285000810 Verify this NPI
- Provider Name
- LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.
- Entity Type
- Organization
- Location Address
- 14678 LAKESHORE BOULEVARD CLEARLAKE, CA 95453
- Location Phone
- (707) 262-8382
- Mailing Address
- PO BOX 1950 LAKEPORT, CA 95453
- Mailing Phone
- (707) 263-8382
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-18-2015
- Last Update Date
- 04-02-2024
- Code Navigator
A primary care provider (PCP) like Lake County Tribal Health Consortium, Inc. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
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
- 05D0722889
- Facility Type
- Other - TRIBAL/IHS JOINT VENTURE
- Certificate Effective Date
- December 17, 2024
- Certificate Expiration Date
- December 16, 2026
- Laboratory Director
- ANDRE P. LALLANDE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Lake County Tribal Health Consortium, Inc. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285000810, enumerated as an "organization" on August 18, 2015.
The provider is located at 14678 LAKESHORE BOULEVARD CLEARLAKE, CA 95453 and the phone number is (707) 262-8382.
Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).
