Organization
WEST COUNTY HEALTH CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TARI M WALLACE (BILLING DIRECTOR)
(707) 869-5977
Entity
Organization
Contact information
Practice address
16319 THIRD STREET, GUERNEVILLE, CA 95446-1449
(707) 869-5977
(707) 869-5983
Mailing address
PO BOX 1449, GUERNEVILLE, CA 95446-1449
(707) 869-5977
(707) 869-5983
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
XXXXXXX
CA
Other
Enumeration date
07/28/2006
Last updated
06/21/2018
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