West County Health Centers, Inc. | |
652 Petaluma Ave Ste C-f Sebastopol CA 95472-4256 | |
(707) 874-8231 | |
Not Available |
Full Name | West County Health Centers, Inc. |
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Speciality | Clinic/Center |
Location | 652 Petaluma Ave Ste C-f, Sebastopol, California |
Authorized Official Name and Position | Vikki Minnifield (BILLING MANAGER) |
Authorized Official Contact | 7072717052 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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West County Health Centers, Inc. Po Box 1449 Guerneville CA 95446-1449 Ph: (707) 271-7052 | West County Health Centers, Inc. 652 Petaluma Ave Ste C-f Sebastopol CA 95472-4256 Ph: (707) 874-8231 |
NPI Number | 1841916889 |
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Provider Enumeration Date | 10/12/2022 |
Last Update Date | 10/12/2022 |
Medicare PECOS PAC ID | 6800782277 |
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Medicare Enrollment ID | O20221202000792 |
Identifier | Type | State | Issuer |
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1841916889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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