WEST COUNTY HEALTH CENTERS, INC. (NPI# 1659630036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659630036 |
Entity Type | Organization |
Organization Name | WEST COUNTY HEALTH CENTERS, INC. |
Other Organization Name | FORESTVILLE WELLNESS CENTER |
Practice Address |
6550 Front Street Forestville CA 95436-0000 |
Mailing Address |
Po Box 1449 Guerneville CA 95446-1449 |
Practice Telephone | 7078870290 |
Practice Fax Number | 7078872790 |
Mailing Telephone | 7078695977 |
Mailing Fax Number | 7078695983 |
Enumeration Date | 2012-05-07 |
Last Update Date | 2012-05-07 |
Authorized Official Name | MS. MARY E SZECSEY (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 7078691594 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Forestville Wellness Center | 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 |
1215488705 | West County Health Centers, Inc. | Clinic/Center | 16312 Third St, Guerneville, CA 95446 | 2016-10-19 |
1861809501 | West County Health Centers, Inc. | Clinic/Center | 652 Petaluma Ave, Sebastopol, CA 95472-4256 | 2014-07-15 |
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 |
6550 FRONT STREET |
City | FORESTVILLE |
State | CA |
Zip Code | 95436-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215947882 | Thomas Frederick Yatteau | Family Medicine | 6550 Front Street, Forestville, CA 95436 | 2006-08-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558483701 | Karol Hoff Scheiner | Dentist | 6625 Front St., Forestville, CA 95436 | 2007-04-06 |
1386633782 | Christopher Jason Hilton | Nurse Anesthetist, Certified Registered | 7232 Ellen Lane, Forestville, CA 95436 | 2005-10-18 |
1922331644 | Empire Drug Company Inc. | Pharmacy | 6652 Front Street, Forestville, CA 95436-0189 | 2009-09-14 |
1134141781 | El Molino Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 6652 Front St, Forestville, CA 95436-0189 | 2006-07-24 |
1790055036 | Sever Effectiveness Strategies Inc | Clinic/Center | 6478 Mirabel Road, Forestville, CA 95436-1483 | 2012-01-04 |
1972662278 | Mark Joseph Sever | Physical Therapist | 6478 Mirabel Rd, Forestville, CA 95436-1483 | 2006-12-06 |
1487703013 | Thomas Patrick Murphy | Chiropractor | 6685 Front Street, Forestville, CA 95436-1518 | 2007-01-10 |
1316072424 | Richard Rosen Acupuncture, Inc. | Acupuncturist | 6544 Front St., Forestville, CA 95436-1713 | 2007-02-22 |
1518180470 | Ellen Faryna | Psychologist | 6400 Hidden Lake Rd, Forestville, CA 95436-9212 | 2007-04-10 |
1982180766 | Chloe Rusca | Social Worker | 7210 Hwy 116, Forestville, CA 95436-9226 | 2018-07-16 |
Find all providers in zip 95436 |
Taxonomy Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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Find all providers with the same taxonomy |
City | FORESTVILLE |
Zip Code | 95436 |
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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.