Provider Demographics
NPI:1861380164
Name:TOLOWA DEE-NI' NATION
Entity type:Organization
Organization Name:TOLOWA DEE-NI' NATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR - COMMUNITY & FAMILY WELL
Authorized Official - Prefix:
Authorized Official - First Name:TEELA
Authorized Official - Middle Name:
Authorized Official - Last Name:JAMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-487-9255
Mailing Address - Street 1:12801 MOUTH OF THE SMITH RIVER RD
Mailing Address - Street 2:
Mailing Address - City:SMITH RIVER
Mailing Address - State:CA
Mailing Address - Zip Code:95567-9446
Mailing Address - Country:US
Mailing Address - Phone:707-487-9225
Mailing Address - Fax:
Practice Address - Street 1:140 ROWDY CREED RD
Practice Address - Street 2:
Practice Address - City:SMITH RIVER
Practice Address - State:CA
Practice Address - Zip Code:95567-9446
Practice Address - Country:US
Practice Address - Phone:707-487-9225
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral Health
No253J00000XAgenciesFoster Care Agency
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)