Blue Lake Rancheria
Blue Lake Rancheria is a Meals Provider in Blue Lake, California. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 9
Practice location Address checks out
428 Chartin RdBlue Lake, CA 95525-9722
Phone: (707) 668-5101
Fax: (707) 668-7226
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinic/Center (primary) | Taxonomy 261Q00000X |
|---|---|
| Meals Provider | Taxonomy 174200000X |
| Case Management Agency | Taxonomy 251B00000X |
| Public Health or Welfare Agency | Taxonomy 251K00000X |
| Community Health Clinic/Center | Taxonomy 261QC1500X |
| Non-Surgical Family Planning Clinic/Center | Taxonomy 261QF0050X |
| Adult Mental Health Clinic/Center | Taxonomy 261QM0850X |
| Home Delivered Meals | Taxonomy 332U00000X |
| Respite Care | Taxonomy 385H00000X |
Record details
| NPI number | 1952120354 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jason Ramos — Tribal Adminstrator · (707) 668-7226 |
| NPI enumerated | October 3, 2024 |
| Last updated in NPPES | October 3, 2024 |
| Certification date | October 3, 2024 |
| Mailing address | Po Box 428, Blue Lake, CA 95525-0428 |