Russian River Health Center Bldg #2 Annex

LBN: West County Health Centers, Inc.
Russian River Health Center Bldg #2 Annex is an health care organization with primary practice located at 16312 Third St , Guerneville CA 95446. 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. West County Health Centers, Inc. can be contacted via phone (707) 869-5977, or through Minnifield, Vikki via phone (707) 869-5977.

Contact Information

Primary practice address
16312 Third St Guerneville CA 95446
Phone: (707) 869-5977
Fax: (707) 869-5976
Website:
Map and Directions
Authorized official contact:
Name: Minnifield, Vikki
Phone: (707) 869-5977

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 110000492 California

Profile Details

NPI number 1215488705
LBN Legal business name West County Health Centers, Inc.
DBA Doing business as Russian River Health Center Bldg #2 Annex
Authorized official Minnifield, Vikki
Entity Organization
Organization subpart 1 No
Enumeration date Oct 19th, 2016
Last updated Oct 19th, 2016 - about 8 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215488705 NPPES
California MEDICAID 1598786352

Popular Providers