WEST COUNTY HEALTH CENTERS, INC. (NPI# 1215488705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215488705 |
| Entity Type | Organization |
| Organization Name | WEST COUNTY HEALTH CENTERS, INC. |
| Other Organization Name | RUSSIAN RIVER HEALTH CENTER BLDG #2 ANNEX |
| Practice Address |
16312 Third St Guerneville CA 95446 |
| Mailing Address |
Po Box 1449 Guerneville CA 95446-1449 |
| Practice Telephone | 7078695977 |
| Practice Fax Number | 7078695976 |
| Mailing Telephone | 7078695977 |
| Mailing Fax Number | 7078695976 |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |
| Authorized Official Name | VIKKI MINNIFIELD (BILLING MANAGER) |
| Authorized Official Telephone | 7078695977 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
110000492 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 1598786352 | 05 |
| Other Name | Type Code |
|---|---|
| Russian River Health Center Bldg #2 Annex | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598786352 | West County Health Centers, Inc. | Clinic/Center | 16312 Third Street, Guerneville, CA 95446 | 2006-07-21 |
| 1356344758 | West County Health Centers, Inc. | Clinic/Center | 16319 Third Street, Guerneville, CA 95446 | 2005-05-31 |
| 1861809501 | West County Health Centers, Inc. | Clinic/Center | 652 Petaluma Ave, Sebastopol, CA 95472-4256 | 2014-07-15 |
| 1659630036 | West County Health Centers, Inc. | Clinic/Center | 6550 Front Street, Forestville, CA 95436-0000 | 2012-05-07 |
| 1538334065 | West County Health Centers, Inc. | Clinic/Center | 6800 Palm Ave, Suite C2, Sebastopol, CA 95472-4269 | 2008-04-25 |
| 1598768962 | West County Health Centers, Inc. | Clinic/Center | 3802 Main Street, Occidental, CA 95464 | 2005-05-31 |
| Street Address |
16312 THIRD ST |
| City | GUERNEVILLE |
| State | CA |
| Zip Code | 95446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528459740 | Lorraine Mccue | Social Worker | 16312 Third St, Guerneville, CA 95446-1449 | 2015-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659840387 | Thomas N Tiffer | Taxi | 14701 Canyon 7 Rd, Guerneville, CA 95446 | 2018-11-26 |
| 1265969059 | Teresa Bowden | Counselor | 16255 1st Street, Guerneville, CA 95446 | 2017-05-11 |
| 1255882502 | Skye Ashley | Marriage & Family Therapist | 16390 Main Street, Guerneville, CA 95446 | 2016-10-21 |
| 1326461187 | Christopher Arthur Newell | Pharmacist | 16251 Main St., Lark Drugs, Guerneville, CA 95446 | 2014-01-30 |
| 1750658159 | Daryl Wolfe | Pharmacist | 16405 River Rd, Guerneville, CA 95446 | 2011-11-30 |
| 1881995041 | Declan Gerard Prendergast | Pharmacist | 16405 River Rd., Guerneville, CA 95446 | 2010-11-04 |
| 1154523272 | West County Community Services | Community/Behavioral Health | 14520 Armstrong Woods Rd, Guerneville, CA 95446 | 2007-06-01 |
| 1912128661 | Raymond Francis Skryja | Dentist | 14001 Old Cazadero Rd, Guerneville, CA 95446 | 2007-05-01 |
| 1598786352 | West County Health Centers, Inc. | Clinic/Center | 16312 Third Street, Guerneville, CA 95446 | 2006-07-21 |
| 1255365532 | Suzanne Kay Saville | Dentist | 16312 3rd Street, Guerneville, CA 95446 | 2006-07-10 |
| Find all providers in zip 95446 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598786352 | West County Health Centers, Inc. | Clinic/Center | 16312 Third Street, Guerneville, CA 95446 | 2006-07-21 |
| 1356344758 | West County Health Centers, Inc. | Clinic/Center | 16319 Third Street, Guerneville, CA 95446 | 2005-05-31 |
| 1528072386 | West County Health Centers, Inc | Clinic/Center | 16319 Third Street, Guerneville, CA 95446-1449 | 2006-07-28 |
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| Find all providers with the same taxonomy | ||||
| City | GUERNEVILLE |
| Zip Code | 95446 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.