Organization
WEST COUNTY HEALTH CENTERS, INC.
Active
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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