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MENDOCINO COMMUNITY HEALTH CLINIC INC. NPI 1497961106


NPI Information

NPI: 1497961106
Provider Name: MENDOCINO COMMUNITY HEALTH CLINIC, INC.
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
333 LAWS AVE
UKIAH, CA
ZIP 95482
Phone: (707) 468-1010
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MENDOCINO COMMUNITY HEALTH CLINIC, INC. is a federally qualified health center (fqhc) clinic center in Ukiah, CA. MENDOCINO COMMUNITY HEALTH CLINIC, INC. NPI is 1497961106. The provider is registered as an organization entity type.

The provider's business location address is:

333 LAWS AVE
UKIAH, CA
ZIP 95482-540
Phone: (707) 468-1010
Fax: (707) 462-7078

The provider's authorized official is Linnea J Hunter .
The authorized official title is C.e.o. and has the following contact phone number (707) 472-4511.

The enumeration date for this NPI number is 5/16/2007 and was last updated on 3/12/2013.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)110000360CALIFORNIANo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)110000500CALIFORNIANo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)110000236CALIFORNIAYes

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
1ZZZ38062ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
2FHC70845FMEDICAIDCALIFORNIA
3FHC70968FMEDICAIDCALIFORNIA
4FHC03933FMEDICAIDCALIFORNIA

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

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