Organization
WINTERS HEALTHCARE FOUNDATION, INC.
Active
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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