Mendocino Community Health Clinic, Inc.
LBN: Mendocino Community Health Clinic, Inc.
Mendocino Community Health Clinic, Inc. is an health care organization with primary practice located at 333 Laws Ave , Ukiah CA 95482-6540. 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 Delgado Vega, Antonia via phone (707) 467-2260.
Contact Information
Primary practice address
333 Laws Ave
Ukiah CA 95482-6540
Phone: (707) 468-1010
Fax: (707) 468-0174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X |
Profile Details
| NPI number | 1811958952 |
|---|---|
| LBN Legal business name | Mendocino Community Health Clinic, Inc. |
| DBA Doing business as | |
| Authorized official | Delgado Vega, Antonia |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | May 7th, 2019 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1811958952 | NPPES |
| California | Other | EAP03933F | EAPC |
| California | MEDICAID | FHC03933F | EAPC |
| California | Other | HAP03933F | EAPC |
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