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Organization

WEST COUNTY HEALTH CENTERS, INC.

Active
Other names
Russian River Resiliency Center
Organization subpart
No

Provider details

NPI number
Authorized official
VIKKI MINNIFIELD (BILLING MANAGER)
(707) 271-7052
Entity
Organization

Contact information

Practice address
16385 FIRST ST., GUERNEVILLE, CA 95446-1449
(707) 869-2849
Mailing address
PO BOX 1449, GUERNEVILLE, CA 95446-1449
(707) 271-7052

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1356344758
CA
Enumeration date
10/13/2022
Last updated
10/13/2022
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