Organization
MENDOCINO COMMUNITY HEALTH CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINNEA J HUNTER (C.E.O.)
(707) 472-4511
Entity
Organization
Contact information
Practice address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
(707) 462-7078
Mailing address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
(707) 462-7078
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
110000236
CA
261QF0400X
Federally Qualified Health Center (FQHC)
110000360
CA
261QF0400X
Federally Qualified Health Center (FQHC)
110000500
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC03933F
—
CA
05
—
FHC70845F
—
CA
05
—
FHC70968F
—
CA
Enumeration date
05/16/2007
Last updated
03/12/2013
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