SOUTHERN INDIAN HEALTH COUNCIL
NPI 1417026758
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy in Campo, CA

Active since November 08, 2006CLIA 05D0719702 · Microscopy
36350 CHURCH RD, CAMPO, CA 91906(619) 478-2225(619) 478-2323 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Nov 12, 2024, Oct 26, 2016, Oct 21, 2016 (3 updates tracked since 2016).

About Southern Indian Health Council NPPES

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

SOUTHERN INDIAN HEALTH COUNCIL (NPI 1417026758) is a healthcare organization registered as an indian health service/tribal/urban indian health (i/t/u) pharmacy in Campo, California and active in the NPI registry since November 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2028 and lists Dean Garcia, Pic, as its authorized official.

NPPES Registry Identity

NPI1417026758
Entity TypeOrganization
Primary Taxonomy332800000X
Legal Business NameSOUTHERN INDIAN HEALTH COUNCIL
Location Address36350 CHURCH RDCampo, CA 91906-2715
Mailing Address36350 Church RdCampo, CA 91906-2715 · (619) 478-2225 · Fax (619) 478-2323
Fax(619) 478-2323
Organization SubpartNo
Authorized OfficialDean GarciaPic · (619) 445-1188
Enumeration DateNovember 8, 2006
Last NPPES UpdateNovember 12, 20243 updates tracked since enumeration
NPPES CertifiedNovember 12, 2024
✔ NPI 1417026758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code332800000X
License✔ Licensed in CA · PHE43448
Definition
An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Also ListedPharmacyTaxonomy 333600000X
Also ListedPharmacy · Community/Retail PharmacyTaxonomy 3336C0003X
36350 CHURCH RD, Campo, CA 91906

Other Names 1

Doing Business AsSouthern Indian Health Council

Other Identifiers 2

Other2113505Pk
MedicaidPHA434480CA

Accepted Insurance

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 for Provider-Performed Microscopy Procedures (PPMP) 05D0719702

Southern Indian Health Council Inc · Alpine, CA
Active · expires Aug 31, 2028
CLIA Number05D0719702
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorTobe Propst
Laboratory Phone(619) 445-1188
Laboratory LocationSouthern Indian Health Council Inc4058 Willows Rd, Alpine, CA 91903
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Southern Indian Health Council's NPI number?

The NPI number for Southern Indian Health Council is 1417026758. It was assigned to this organization in the NPPES registry on November 8, 2006.

Where is Southern Indian Health Council located?

Southern Indian Health Council is located at 36350 Church Rd, Campo, CA 91906. The listed phone number is (619) 478-2225.

What is Southern Indian Health Council's specialty?

The primary specialty registered for this NPI is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy with taxonomy code 332800000X.

Does Southern Indian Health Council hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0719702) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Southern Indian Health Council accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and Ambetter from Arkansas Health & Wellness and 45 other insurers list Southern Indian Health Council as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southern Indian Health Council was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.