Organization
WEST COUNTY HEALTH CENTERS, INC.
Active
Other names
Gravenstein South
Organization subpart
No
Provider details
NPI number
Authorized official
VIKKI MINNIFIELD (BILLING MANAGER)
(707) 271-7052
Entity
Organization
Contact information
Practice address
652 PETALUMA AVE STE C-F, SEBASTOPOL, CA 95472-4256
(707) 874-8231
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
Enumeration date
10/12/2022
Last updated
10/12/2022
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