LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.
NPI 1285000810
Clinic/Center - Federally Qualified Health Center (FQHC) in Clearlake, CA

Active since August 18, 2015
14678 LAKESHORE BOULEVARD, CLEARLAKE, CA 95453(707) 262-8382 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lake County Tribal Health Consortium, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC. (NPI 1285000810) is a healthcare organization registered as a federally qualified health center (fqhc) in Clearlake, California and active in the NPI registry since August 2015. The organization lists Ernesto Padilla, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1285000810
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.
Location Address14678 LAKESHORE BOULEVARDClearlake, CA 95453
Mailing AddressPo Box 1950Lakeport, CA 95453-1950 · (707) 263-8382
Organization SubpartNo
Authorized OfficialErnesto PadillaExecutive Director · (541) 263-8382
Enumeration DateAugust 18, 2015
Last NPPES UpdateApril 2, 2024
NPPES CertifiedApril 2, 2024
NPI 1285000810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
14678 LAKESHORE BOULEVARD, Clearlake, CA 95453

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake County Tribal Health Consortium, Inc.'s NPI number?

The NPI number for Lake County Tribal Health Consortium, Inc. is 1285000810. It was assigned to this organization in the NPPES registry on August 18, 2015.

Where is Lake County Tribal Health Consortium, Inc. located?

Lake County Tribal Health Consortium, Inc. is located at 14678 Lakeshore Boulevard, Clearlake, CA 95453. The listed phone number is (707) 262-8382.

What is Lake County Tribal Health Consortium, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

When was this NPI record last updated?

The NPPES record for Lake County Tribal Health Consortium, Inc. was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.