FQHC — tribal (638) · CA
LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC
- 0Registered locations
- 1Associated locations
- 11Contract pharmacies
- 9With no end date
- 1 January 1995In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC” (340B ID FQHC638009), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHC638009
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 January 1995
- Certification date
- 11 February 2026
- Record last edited
- 11 February 2026
Identifiers
- 340B ID
- FQHC638009
- Entity type as filed
- FQHC638
- NPI
- 1528402336 (CA), 1881697381 (CA)
925 BEVINS COURT, LAKEPORT CA 95453
Associated locations
| Organization | Address | Where |
|---|---|---|
| LAKE COUNTY TRIBAL HEALTH CONSORTIUM, INC | 925 BEVINS COURT | LAKEPORT CA 95453 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| LAKE PHARMACY | HIDDEN VALLEY LAKE, CA | 1 July 2026 | no end date filed |
| LAKE PHARMACY | CLEARLAKE, CA | 1 July 2026 | no end date filed |
| MORAN'S PHARMACY | CLEARLAKE, CA | 1 July 2026 | no end date filed |
| NORTH LAKE MEDICAL PHARMACY #2 | LAKEPORT, CA | 1 January 2007 | no end date filed |
| NORTH LAKE MEDICAL PHARMCY IN | LAKEPORT, CA | 15 February 2008 | no end date filed |
| SAFEWAY INC | LAKEPORT, CA | 1 October 2019 | no end date filed |
| WAL-MART CENTRAL FILL 10-2670 | SPRING, TX | 1 October 2018 | no end date filed |
| WAL-MART PHARMACY 10-1979 | CLEARLAKE, CA | 1 October 2018 | no end date filed |
| WAL-MART PHARMACY 10-5997 | ORLANDO, FL | 1 January 2019 | no end date filed |
| WAL-MART PHARMACY 10-5315 | ORLANDO, FL | 1 October 2018 | 13 September 2018 |
| SAFEWAY INC | LAKEPORT, CA | 1 July 2014 | 15 September 2016 |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.