GREENVILLE RANCHERIA TRIBAL HEALTH
NPI 1326031881
Clinic/Center - Community Health in Greenville, CA

Active since August 30, 2005
410 MAIN STREET, GREENVILLE, CA 95947(530) 284-6135(530) 284-7594 Get Directions Write a Review

NPPES record last updated: March 12, 2009. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Greenville Rancheria Tribal Health NPPES

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

GREENVILLE RANCHERIA TRIBAL HEALTH (NPI 1326031881) is a healthcare organization registered as a community health in Greenville, California and active in the NPI registry since August 2005. The organization lists Patty Allen, Fiscal Officer, as its authorized official.

NPPES Registry Identity

NPI1326031881
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameGREENVILLE RANCHERIA
Location Address410 MAIN STREETGreenville, CA 95947-0279
Mailing AddressPo Box 279Greenville, CA 95947-0279 · (530) 284-7990 · Fax (530) 284-7299
Fax(530) 284-7594
Organization SubpartNo
Authorized OfficialPatty AllenFiscal Officer · (530) 284-7990
Enumeration DateAugust 30, 2005
Last NPPES UpdateMarch 12, 2009
✔ NPI 1326031881 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
410 MAIN STREET, Greenville, CA 95947

Other Names 1

Doing Business AsGreenville Rancheria Tribal Health

Other Identifiers 2

Medicare OSCAR/certification051930CA
MedicaidTHP70390GCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0887280

Greenville Rancheria Tribal Health Program · Greenville, CA
Expired · Sep 20, 2026
CLIA Number05D0887280
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 21, 2024
Certificate Expiration DateSeptember 20, 2026
Laboratory DirectorDr. Ntango Banani
Laboratory Phone(530) 284-6135
Laboratory LocationGreenville Rancheria Tribal Health Program410 Main Street, Greenville, CA 95947
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
410 MAIN STREET
GREENVILLE, CA 95947
Licensed Psychiatric Technician
410 MAIN STREET
GREENVILLE, CA 95947
Family Medicine
410 MAIN STREET
GREENVILLE, CA 95947

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 Greenville Rancheria's NPI number?

The NPI number for Greenville Rancheria is 1326031881. It was assigned to this organization in the NPPES registry on August 30, 2005. The provider is doing business as Greenville Rancheria Tribal Health.

Where is Greenville Rancheria located?

Greenville Rancheria is located at 410 Main Street, Greenville, CA 95947. The listed phone number is (530) 284-6135.

What is Greenville Rancheria's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Greenville Rancheria was last updated on March 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.