Organization
MENDOCINO COMMUNITY HEALTH CLINIC, INC.
Active
Other names
Dora Street Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLE PRESS (C.E.O.)
(707) 468-1010
Entity
Organization
Contact information
Practice address
1165 S DORA ST, SUITE A1, UKIAH, CA 95482-8325
(707) 468-1010
Mailing address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
(707) 468-0793
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/09/2015
Last updated
11/20/2015
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