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FQHC638024E United Indian Health Service (Active)
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Main Details
Name
United Indian Health Service
Subdivision Name
Smith River Clinic
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638024E
Additional Details
Current Program Status
Active
Registration Date
10/3/2016
Participating Start Date
1/1/2017
Participating Approval Date
11/25/2016
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
501 North Indian Rd
Smith River, CA 95567
Billing Address
United Indian Health Services, Inc.
1600 Weeot Way
Arcata, CA 95521
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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