Organization
WESTERN SIERRA MEDICAL CLINIC, INC.
Active
Other names
Sierra Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCINE NOVAK (PDO)
(530) 802-2706
Entity
Organization
Contact information
Practice address
15301 TYLER FOOTE RD, NEVADA CITY, CA 95959
(530) 292-3478
(530) 292-4296
Mailing address
844 OLD TUNNEL RD, GRASS VALLEY, CA 95945-8524
(530) 292-3478
(530) 292-4296
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70780F
CDP
CA
01
—
EAP70780F
EAPC
CA
05
—
FHC70780F
—
CA
01
—
ZZZ42078Z
MEDICARE NHIC
CA
01
—
ZZZ54742Z
BLUE SHIELD
CA
Enumeration date
05/03/2007
Last updated
03/19/2026
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