WESTERN SIERRA MEDICAL CLINIC INC. NPI 1063496396

NPI Information

NPI: 1063496396
Provider Name: WESTERN SIERRA MEDICAL CLINIC, INC.

Doing Business As: WESTERN SIERRA MEDICAL CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
844 OLD TUNNEL RD
GRASS VALLEY, CA
ZIP 95945
Phone: (530) 273-4984
Get Directions

WESTERN SIERRA MEDICAL CLINIC, INC. is a federally qualified health center (fqhc) clinic center in Grass Valley, CA. WESTERN SIERRA MEDICAL CLINIC, INC. NPI is 1063496396. The provider is registered as an organization entity type.
The provider Is Doing Business As Western Sierra Medical Center.

The provider's business location address is:

844 OLD TUNNEL RD
GRASS VALLEY, CA
ZIP 95945-524
Phone: (530) 273-4984
Fax: (530) 273-4573

The provider's authorized official is Francine Novak .
The authorized official title is Senior Director Of Operations and has the following contact phone number (530) 802-2706.

The enumeration date for this NPI number is 11/30/2005 and was last updated on 5/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	G43289	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	051002	OTHER	CALIFORNIA	MEDICARE ID TYPE-UNSPECIFIED
2	FHC70988F	MEDICAID	CALIFORNIA
3	ZZZ22465Z	OTHER	CALIFORNIA	MEDICARE ID TYPE-UNSPECIFIED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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