Organization
WEST COUNTY HEALTH CENTERS, INC.
Active
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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