Organization
WINTERS HEALTHCARE FOUNDATION, INC.
Active
Other names
Winters Healthcare Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER KELSCH (EXECUTIVE DIRECTOR)
(530) 795-4377
Entity
Organization
Contact information
Practice address
172 E GRANT AVE, WINTERS, CA 95694-1780
(530) 795-4377
(530) 795-9541
Mailing address
172 E GRANT AVE, WINTERS, CA 95694-1780
(530) 795-4377
(530) 795-9541
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
030000787
STATE LICENSE
CA
01
—
2254671
STATE CORPORATION NUMBER
CA
05
—
BCP71037F
—
CA
05
—
FHC71037F
—
CA
05
—
HAP71037F
—
CA
01
—
ZZZ04589Z
MEDICARE PTAN
CA
Enumeration date
07/06/2006
Last updated
08/19/2020
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