FQHC — tribal (638) · CA
Lake County Tribal Health Consortium, Inc
- 0Registered locations
- 2Associated locations
- 0Contract pharmacies
- 0With no end date
- 1 January 2023In 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 FQHC638009C), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/FQHC638009C
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 January 2023
- Certification date
- 11 February 2026
- Record last edited
- 16 April 2026
Identifiers
- 340B ID
- FQHC638009C
- Entity type as filed
- FQHC638
- NPI
- 1063158038 (CA), 1376289322 (CA)
14440 Olympic Drive, Clearlake CA 95422
Associated locations
| Organization | Address | Where |
|---|---|---|
| Lake County Tribal Health Consortium, Inc | 14440 Olympic Drive | Clearlake CA 95422 |
| Lake County Tribal Health Southshore | 14440 Olympic Drive | 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.