LAKE COUNTY TRIBAL HEALTH MIDDLETOWN CLINIC
NPI 1982418430
Clinic/Center - Federally Qualified Health Center (FQHC) in Middletown, CA

Active since February 05, 2025
22223 CA-29, RANCHERIA ROAD, TRIBAL OFFICES #1035, MIDDLETOWN, CA 95461(707) 263-8382 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lake County Tribal Health Middletown Clinic NPPES

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

LAKE COUNTY TRIBAL HEALTH MIDDLETOWN CLINIC (NPI 1982418430) is a healthcare organization registered as a federally qualified health center (fqhc) in Middletown, California and active in the NPI registry since February 2025. The organization lists Thomas Burnett, Ehr Specialist, as its authorized official.

NPPES Registry Identity

NPI1982418430
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameLAKE COUNTY TRIBAL HEALTH MIDDLETOWN CLINIC
Location Address22223 CA-29, RANCHERIA ROAD, TRIBAL OFFICES #1035Middletown, CA 95461
Mailing AddressPo Box 1950Lakeport, CA 95453-1950
Organization SubpartYesParent: Lake County Tribal Health Consortium Inc.
Authorized OfficialThomas BurnettEhr Specialist · (707) 263-8382
Enumeration DateFebruary 5, 2025
NPPES CertifiedJanuary 21, 2025
NPI 1982418430 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
22223 CA-29, Middletown, CA 95461

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 Middletown Clinic's NPI number?

The NPI number for Lake County Tribal Health Middletown Clinic is 1982418430. It was assigned to this organization in the NPPES registry on February 5, 2025.

Where is Lake County Tribal Health Middletown Clinic located?

Lake County Tribal Health Middletown Clinic is located at 22223 Ca-29 Rancheria Road, Tribal Offices #1035, Middletown, CA 95461. The listed phone number is (707) 263-8382.

What is Lake County Tribal Health Middletown Clinic'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 Middletown Clinic was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.