| Mckinleyville Community Health Center | |
|
1644 Central Avenue Suite F Mckinleyville CA 95519 | |
| (707) 839-3068 | |
| (707) 839-3827 |
| Full Name | Mckinleyville Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1644 Central Avenue, Mckinleyville, California |
| Authorized Official Name and Position | Victor Starr (PRESIDENT/CEO) |
| Authorized Official Contact | 7078268633 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mckinleyville Community Health Center 1275 8th St Arcata CA 95521-5770 Ph: (707) 826-8633 | Mckinleyville Community Health Center 1644 Central Avenue Suite F Mckinleyville CA 95519 Ph: (707) 839-3068 |
| NPI Number | 1598858169 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 06/07/2023 |
| Medicare PECOS PAC ID | 9436067485 |
|---|---|
| Medicare Enrollment ID | O20030102000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598858169 | NPI | - | NPPES |
| FHC70779F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 010000340 (California) | Primary |
U.s. Coast Guard Group/air Station Humboldt Bay Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1001 Lycoming Ave, Mckinleyville, CA 95519 Phone: 707-839-6176 | |
Humboldt Family Medical Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1733 Central Ave, Mckinleyville, CA 95519 Phone: 707-839-4852 Fax: 707-839-2439 | |
Redwood Community Pharmacy Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1567 City Center Rd, Mckinleyville, CA 95519 Phone: 707-633-4884 |