WEST COUNTY HEALTH CENTERS INC. NPI 1215488705

NPI Information

NPI: 1215488705
Provider Name: WEST COUNTY HEALTH CENTERS, INC.

Doing Business As: RUSSIAN RIVER HEALTH CENTER BLDG #2 ANNEX

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
16312 THIRD ST
GUERNEVILLE, CA
ZIP 95446
Phone: (707) 869-5977
Get Directions

WEST COUNTY HEALTH CENTERS, INC. is a federally qualified health center (fqhc) clinic center in Guerneville, CA. WEST COUNTY HEALTH CENTERS, INC. NPI is 1215488705. The provider is registered as an organization entity type.
The provider Is Doing Business As Russian River Health Center Bldg #2 Annex.

The provider's business location address is:

16312 THIRD ST
GUERNEVILLE, CA
ZIP 95446
Phone: (707) 869-5977
Fax: (707) 869-5976

The provider's authorized official is Vikki Minnifield .
The authorized official title is Billing Manager and has the following contact phone number (707) 869-5977.

The enumeration date for this NPI number is 10/19/2016 and was last updated on 10/19/2016.

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)	110000492	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	1598786352	MEDICAID	CALIFORNIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »