Organization
WEST COUNTY HEALTH CENTERS, INC.
Active
Organization
WEST COUNTY HEALTH CENTERS, INC.
Active
Other names
Sebastopol Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY E SZECSEY (EXECUTIVE DIRECTOR)
(707) 869-5977
Entity
Organization
Contact information
Practice address
6800 PALM AVE, SUITE C2, SEBASTOPOL, CA 95472-4269
(707) 824-9999
(707) 824-9335
Mailing address
PO BOX 1449, GUERNEVILLE, CA 95446-1449
(707) 869-5977
(770) 786-9597
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
110000063
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356344758
—
CA
Enumeration date
04/25/2008
Last updated
01/09/2009
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