FQHC — tribal (638) · CA

Lake County Tribal Health Consortium Inc.

Name: 340B covered-entity record — Lake County Tribal Health Consortium Inc. (FQHC638009A)
Creator: Velarion Records
License: https://www.hrsa.gov/about/website-policies

0Registered locations
1Associated locations
0Contract pharmacies
0With no end date
1 January 2017In 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.

Download this hospital’s data (CSV)

Cite this page

Velarion Records, “Lake County Tribal Health Consortium Inc.” (340B ID FQHC638009A), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHC638009A

Participation, as filed

Participating: TRUE
Participation start date: 1 January 2017
Certification date: 11 February 2026
Record last edited: 11 February 2026

Identifiers

340B ID: FQHC638009A
Entity type as filed: FQHC638
NPI: 1285000810 (CA)

14678 Lakeshore Blvd, Clearlake CA 95422

Associated locations

Organization	Address	Where
Lake County Tribal Health Consortium Inc.	14678 Lakeshore Blvd	Clearlake CA 95422

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.