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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