| Mendocino Community Health Clinic, Inc. | |
|
333 Laws Ave Ukiah CA 95482-6540 | |
| (707) 468-1010 | |
| (707) 468-0174 |
| Full Name | Mendocino Community Health Clinic, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 333 Laws Ave, Ukiah, California |
| Authorized Official Name and Position | Antonia Delgado Vega (BILLING MANAGER) |
| Authorized Official Contact | 7074672260 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mendocino Community Health Clinic, Inc. 333 Laws Ave Ukiah CA 95482-6540 Ph: (707) 468-1010 | Mendocino Community Health Clinic, Inc. 333 Laws Ave Ukiah CA 95482-6540 Ph: (707) 468-1010 |
| NPI Number | 1811958952 |
|---|---|
| Provider Enumeration Date | 03/29/2006 |
| Last Update Date | 05/07/2019 |
| Medicare PECOS PAC ID | 6305755455 |
|---|---|
| Medicare Enrollment ID | O20091228000345 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811958952 | NPI | - | NPPES |
| EAP03933F | Other | CA | EAPC |
| FHC03933F | Medicaid | CA | |
| HAP03933F | Other | CA | FAMILY PACT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 232 Hospital Dr Ste B, Ukiah, CA 95482 Phone: 707-463-7356 Fax: 707-462-1051 | |
Medical Offices Of Robert Rushton, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 844 S Dora St, Ukiah, CA 95482 Phone: 707-462-8603 Fax: 707-462-8605 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 234 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-7425 | |
Motionhealth Ukiah Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 557 E Perkins St, Ukiah, CA 95482 Phone: 707-467-9664 | |
Galen Inpatient Physician Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 275 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-3111 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1050 N State St, Ukiah, CA 95482 Phone: 707-463-7495 Fax: 707-462-7846 | |
Adventist Health Physicians Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 Hospital Dr, Suite 103, Ukiah, CA 95482 Phone: 707-463-7490 |