LC
Medical Clinic
LAKE COUNTY TRIBAL HEALTH MOBILE CLINIC #1
925 BEVINS CT, LAKEPORT, CA 95453
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- Not reported
- LTC
- NON-LTC
- NPI
- Not reported
- ZIP
- 95453
- id
- 13334
- CITY
- LAKEPORT
- FLAG
- Not reported
- ZIP9
- 9754
- rank
- 0.07642204
- AO CD
- Not reported
- FACID
- 630028424
- DEEMED
- Not reported
- T18 19
- Not reported
- ADDRESS
- 925 BEVINS CT
- AO NAME
- Not reported
- FACNAME
- LAKE COUNTY TRIBAL HEALTH MOBILE CLINIC #1
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- Not reported
- CAPACITY
- 0
- LATITUDE
- 39.03678985
- LOCATION
- (-122.9221389,39.036789848)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- N
- LONGITUDE
- -122.9221389
- CCLHO CODE
- 17
- CCLHO NAME
- LAKE
- START DATE
- 16OCT2024
- TRAUMA CTR
- Not reported
- ASPEN FACID
- Not reported
- COUNTY CODE
- 160
- COUNTY NAME
- LAKE
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- 110000737
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- Not reported
- BUSINESS NAME
- LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC.
- DISTRICT NAME
- SANTA ROSA
- FAC TYPE CODE
- COMTYC
- LICENSE NUMBER
- 110000289
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 11
- FIPS COUNTY CODE
- 6033
- LICENSED CERTIFIED
- LICENSED ONLY
- PARTICIPATION DATE
- Not reported
- CONTACT PHONE NUMBER
- Not reported
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 1995-02-17T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- Not reported
- LICENSE EFFECTIVE DATE
- 2026-02-17T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2027-02-16T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- Not reported
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- INTERMITTENT CLINIC
COMMUNITY EXPERIENCE
Reviews of LAKE COUNTY TRIBAL HEALTH MOBILE CLINIC #1
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No published community reviews yet.
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