OrganizationActive
Colusa Indian Health Clinic
NPI 1144582925 · Family Nurse Practitioner · Colusa, CA
Provider details
- NPI number
- 1144582925
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Parent organization
- Colusa Indian Community Council
- Organization subpart
- Yes
- Authorized official
- Mark Sprague, Director of Clinic Operations(530) 458-5501
- License
- 021859 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3710 Highway 45
Colusa, CA 95932-4026
Phone: (530) 458-5501
Fax: (530) 458-8660
Approximate (ZIP-level) locationGet directions
Mailing address
3710 Highway 45
Colusa, CA 95932-4026
Registry dates
- Enumerated
- 2012-06-08
- Last updated
- 2012-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.