Dora Street Health Center

LBN: Mendocino Community Health Clinic, Inc.
Dora Street Health Center is an health care organization with primary practice located at 1165 S Dora St, Suite A1 , Ukiah CA 95482-8325. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Mendocino Community Health Clinic, Inc. can be contacted via phone (707) 468-1010, or through Press, Carole via phone (707) 468-1010.

Contact Information

Primary practice address
1165 S Dora St, Suite A1 Ukiah CA 95482-8325
Phone: (707) 468-1010
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Press, Carole
Phone: (707) 468-1010

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1356714646
LBN Legal business name Mendocino Community Health Clinic, Inc.
DBA Doing business as Dora Street Health Center
Authorized official Press, Carole
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2015
Last updated Nov 20th, 2015 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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