| West County Health Centers, Inc | |
|
16319 Third Street Guerneville CA 95446-1449 | |
| (707) 869-5977 | |
| (707) 869-5983 |
| Full Name | West County Health Centers, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 16319 Third Street, Guerneville, California |
| Authorized Official Name and Position | Tari M Wallace (BILLING DIRECTOR) |
| Authorized Official Contact | 7078695977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West County Health Centers, Inc Po Box 1449 Guerneville CA 95446-1449 Ph: (707) 869-5977 | West County Health Centers, Inc 16319 Third Street Guerneville CA 95446-1449 Ph: (707) 869-5977 |
| NPI Number | 1528072386 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 06/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528072386 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | XXXXXXX (California) | Primary |
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 |