Organization
MENDOCINO COMMUNITY HEALTH CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANTONIA DELGADO VEGA (BILLING MANAGER)
(707) 467-2260
Entity
Organization
Contact information
Practice address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
(707) 468-0174
Mailing address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
(707) 468-0174
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EAP03933F
EAPC
CA
05
—
FHC03933F
—
CA
01
—
HAP03933F
FAMILY PACT
CA
Enumeration date
03/29/2006
Last updated
05/07/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us