Lake County Tribal Health Middletown Clinic
Lake County Tribal Health Middletown Clinic is a Federally Qualified Health Center (FQHC) in Middletown, California. Registered with an NPI since 2025.
- In the registry since
- 2025
Practice location Address checks out
22223 CA-29 Rancheria Road Tribal Offices #1035Middletown, CA 95461
Phone: (707) 263-8382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|
Record details
| NPI number | 1982418430 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Lake County Tribal Health Consortium Inc |
| Authorized official | Thomas Burnett — Ehr Specialist · (707) 263-8382 |
| NPI enumerated | February 5, 2025 |
| Last updated in NPPES | February 5, 2025 |
| Certification date | January 21, 2025 |
| Mailing address | Po Box 1950, Lakeport, CA 95453-1950 |