NPI
Round Valley Indian Health Center, Inc.
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2006-12-11
- Last updated
- 2024-03-14
Specialties
Licenses
- License CA
- 110000097
Location
- Practice location
- 24065 Biggar Lane
- City
- Covelo CA
- Postal code
- 95428-0247
- Phone
- (707) 983-6404
Organization contact
- Name
- OTIS BROTHERTON
- Title
- Executive Director
- Phone
- 7079836181
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Covelo, CA. 17 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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