Organization
MENDONOMA HEALTH ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELINE MARIE WHITE (EXECUTIVE DIRECTOR)
(707) 412-3176
Entity
Organization
Contact information
Practice address
39251 CA-1, GUALALA, CA 95445
(707) 412-3176
(707) 412-3196
Mailing address
PO BOX 1196, GUALALA, CA 95445-1196
(707) 412-3176
(707) 412-3196
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
261QC1500X
Community Health Clinic/Center
—
—
Other
Enumeration date
10/13/2022
Last updated
11/12/2025
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