Organization
WESTERN SIERRA MEDICAL CLINIC, INC.
Active
Parent organization
WESTERN SIERRA MEDICAL CLINIC, INC.
Other names
Western Sierra Medical Clinic - Kings Beach
Organization subpart
Yes
Provider details
NPI number
Legal business name
WESTERN SIERRA MEDICAL CLINIC, INC.
Authorized official
FRANCINE NOVAK (CHIEF PLANNING AND DEVELOPMENT OFFI)
(530) 802-2706
Entity
Organization
Contact information
Practice address
8665 SALMON AVENUE, KINGS BEACH, CA 96143
(530) 273-4984
(530) 273-4573
Mailing address
844 OLD TUNNEL RD STE 110, GRASS VALLEY, CA 95945-8524
(530) 273-4984
(530) 273-4573
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
230000145
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851513469
—
CA
Enumeration date
07/31/2018
Last updated
03/19/2026
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