West County Health Centers, INC.
Clinic/Center, Federally Qualified Health Center (FQHC) in Guerneville, CA. Organization (NPI-2).
NPI number1649996554
StatusActive
Last updated in NPPESOct 13, 2022
Details
- NPI
- 1649996554
- Entity type
- Organization (NPI-2)
- Legal business name
- West County Health Centers, INC.
- Organization subpart
- No
- Enumeration date
- Oct 13, 2022
- Certification date
- Oct 6, 2022
- Last updated
- Oct 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | – | – | Yes |
Other names
- Russian River Resiliency Center (Doing Business As)
Practice location
16385 First St.Guerneville, CA 95446-1449
Phone 707-869-2849
Mailing address
Po Box 1449Guerneville, CA 95446-1449
Phone 707-271-7052
Authorized official
Vikki Minnifield
Billing Manager
7072717052
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All 5 Federally Qualified Health Center (FQHC) providers in Guerneville · All 70 providers in Guerneville
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