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16312 Third St Guerneville CA 95446 | |
| (707) 869-5977 | |
| (707) 869-5976 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 16312 Third St, Guerneville, California |
| Authorized Official Name and Position | Vikki Minnifield (BILLING MANAGER) |
| Authorized Official Contact | 7078695977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 1449 Guerneville CA 95446-1449 Ph: (707) 869-5977 | 16312 Third St Guerneville CA 95446 Ph: (707) 869-5977 |
| NPI Number | 1215488705 |
|---|---|
| Provider Enumeration Date | 10/19/2016 |
| Last Update Date | 10/19/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215488705 | NPI | - | NPPES |
| 1598786352 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 110000492 (California) | Primary |
West County Health Centers, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16319 Third Street, Guerneville, CA 95446 Phone: 707-869-5977 Fax: 707-869-5983 | |
West County Health Centers, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16385 First St., Guerneville, CA 95446 Phone: 707-869-2849 |