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BLUE LAKE RANCHERIA
NPI 1952120354
Clinic/Center in Blue Lake, CA

Active since October 03, 2024
428 CHARTIN RD, BLUE LAKE, CA 95525(707) 668-5101(707) 668-7226 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Blue Lake Rancheria NPPES

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

BLUE LAKE RANCHERIA (NPI 1952120354) is a healthcare organization registered as a clinic/center in Blue Lake, California and active in the NPI registry since October 2024. The organization lists Jason Ramos, Tribal Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1952120354
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBLUE LAKE RANCHERIA
Location Address428 CHARTIN RDBlue Lake, CA 95525-9722
Mailing AddressPo Box 428Blue Lake, CA 95525-0428 · (707) 668-7226
Phone(707) 668-5101
Fax(707) 668-7226
Organization SubpartNo
Authorized OfficialJason RamosTribal Adminstrator · (707) 668-7226
Enumeration DateOctober 3, 2024
NPPES CertifiedOctober 3, 2024
✔ NPI 1952120354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 9

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedMealsTaxonomy 174200000X
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedPublic Health or WelfareTaxonomy 251K00000X
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedClinic/Center · Family Planning, Non-SurgicalTaxonomy 261QF0050X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedHome Delivered MealsTaxonomy 332U00000X
Also ListedRespite CareTaxonomy 385H00000X
428 CHARTIN RD, Blue Lake, CA 95525
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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 Blue Lake Rancheria's NPI number?

The NPI number for Blue Lake Rancheria is 1952120354. It was assigned to this organization in the NPPES registry on October 3, 2024.

Where is Blue Lake Rancheria located?

Blue Lake Rancheria is located at 428 Chartin Rd, Blue Lake, CA 95525. The listed phone number is (707) 668-5101.

What is Blue Lake Rancheria's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Blue Lake Rancheria was last updated on October 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.