Western Sierra Medical Center

LBN: Western Sierra Medical Clinic, Inc.
Western Sierra Medical Center is an health care organization with primary practice located at 844 Old Tunnel Rd , Grass Valley CA 95945-8524. 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. Western Sierra Medical Clinic, Inc. can be contacted via phone (530) 273-4984, or through Novak, Francine via phone (530) 802-2706.

Contact Information

Primary practice address
844 Old Tunnel Rd Grass Valley CA 95945-8524
Phone: (530) 273-4984
Fax: (530) 273-4573
Website:
Map and Directions
Authorized official contact:
Name: Novak, Francine
Phone: (530) 802-2706

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X G43289 California

Profile Details

NPI number 1063496396
LBN Legal business name Western Sierra Medical Clinic, Inc.
DBA Doing business as Western Sierra Medical Center
Authorized official Novak, Francine
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2005
Last updated May 7th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063496396 NPPES
California Other ZZZ22465Z MEDICARE ID TYPE-UNSPECIFIED
California MEDICAID FHC70988F MEDICARE ID TYPE-UNSPECIFIED
California Other 051002 MEDICARE ID TYPE-UNSPECIFIED

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