Organization
WESTERN SIERRA MEDICAL CLINIC, INC.
Active
Organization
WESTERN SIERRA MEDICAL CLINIC, INC.
Active
Other names
Western Sierra Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCINE NOVAK (PDO)
(530) 802-2706
Entity
Organization
Contact information
Practice address
844 OLD TUNNEL RD, GRASS VALLEY, CA 95945-8524
(530) 273-4984
(530) 273-4573
Mailing address
844 OLD TUNNEL RD, GRASS VALLEY, GRASS VALLEY, CA 95945-8524
(530) 273-4984
(530) 273-4573
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
G43289
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051002
MEDICARE ID TYPE-UNSPECIFIED
CA
05
—
FHC70988F
—
CA
01
—
ZZZ22465Z
MEDICARE ID TYPE-UNSPECIFIED
CA
Enumeration date
11/30/2005
Last updated
03/19/2026
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