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FQHC638024F UNITED INDIAN HEALTH SERVICES, INC. (Active)
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Main Details
Name
UNITED INDIAN HEALTH SERVICES, INC.
Subdivision Name
Eureka Lucas St
Type
Tribal Contract/Compact with IHS (P.L. 93-638)
340B ID
FQHC638024F
Additional Details
Current Program Status
Active
Registration Date
4/9/2020
Participating Start Date
7/1/2020
Participating Approval Date
4/28/2020
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
2505 Lucas St.
Suite A
Eureka, CA 95501
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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April 2025
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