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FQHC638024J United Indian Health Services (Active)
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Main Details
Name
United Indian Health Services
Subdivision Name
ValleyE-4715
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638024J
Additional Details
Current Program Status
Active
Registration Date
10/14/2024
Participating Start Date
1/1/2025
Participating Approval Date
10/21/2024
Last Recertification Date
3/3/2025
Contacts
Authorizing Official
United Indian Health Services
Christopher Myers, Chief Clinical Officer
(707) 825-4070
Primary Contact
United Indian Health Services
Kanako Miyamoto, Pharmacy Director
(707) 825-4095
Addresses
Street Address
4715 VALLEY EAST BLVD
Arcata, CA 95521
Billing Address
UIHS
1600 Weeot Way
Arcata, CA 95521
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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