Organization
WEST COUNTY HEALTH CENTERS, INC.
Active
Other names
Russian River Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
VIKKI MINNIFIELD (BILLING MANAGER)
(707) 271-7052
Entity
Organization
Contact information
Practice address
16387 FIRST ST, GUERNEVILLE, CA 95446
(707) 869-2849
(707) 869-1477
Mailing address
PO BOX 1449, GUERNEVILLE, CA 95446-1449
(707) 869-2849
(707) 869-1477
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
XXXXXXX
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03887F
—
CA
01
—
HAP03887F
FPACT
CA
01
—
ZZZ73222Z
BLUE SHIELD PIN
CA
Enumeration date
05/31/2005
Last updated
01/21/2026
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