Western Sierra Medical Clinic, Inc. in Grass Valley - Federally Qualified Health Center (fqhc)
Western Sierra Medical Clinic, Inc. - NPI 1063496396
Western Sierra Medical Clinic, Inc. is a Federally Qualified Health Center (fqhc) in Grass Valley, California. Western Sierra Medical Clinic, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Western Sierra Medical Clinic, Inc. is 1063496396. The last update date is 2021-05-07.
Western Sierra Medical Clinic, Inc.'s current location address is 844 Old Tunnel Rd, Grass Valley, California. You can contact this provider via phone number 5302734984 and fax number 5302734573. The mailing address for Western Sierra Medical Clinic, Inc. is 844 Old Tunnel Rd, Grass Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Western Sierra Medical Clinic, Inc. |
|---|---|
| Address | 844 Old Tunnel Rd, Grass Valley, California |
| Phone Number | 5302734984 |
| Fax Number | 5302734573 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR DIR |
|---|---|
| Authorized Official Name | Novak Francine |
| Telephone Number | 5308022706 |
NPI Number Detail
| NPI Number | 1063496396 |
|---|---|
| Provider Enumeration Date | 2005-11-30 |
| Last Updated Date | 2021-05-07 |
Provider Mailing Address Detail
| Address | 844 Old Tunnel Rd |
|---|---|
| City | Grass Valley |
| State | California (CA) |
| Post Code | 959458524 |
| Phone Number | 5302734984 |
| Fax Number | 5302734573 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | G43289 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZZZ22465Z | CA | MEDICARE ID TYPE-UNSPECIFIED | |
| FHC70988F | CA | -- | |
| 51002 | CA | MEDICARE ID TYPE-UNSPECIFIED |
Post Comment/ Review Below
What is the unique identifier code issued to Western Sierra Medical Clinic, Inc. by the Centers for Medicare & Medicaid Services?
The Western Sierra Medical Clinic, Inc. has been assigned the NPI (National Provider Identifier) 1063496396. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Western Sierra Medical Clinic, Inc. located?
The Western Sierra Medical Clinic, Inc. is located at 844 Old Tunnel Rd, Grass Valley, CA 959458524.
What is Western Sierra Medical Clinic, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Western Sierra Medical Clinic, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
On what date did the Western Sierra Medical Clinic, Inc. receive its 1063496396 assignment from the Centers for Medicare & Medicaid Services?
The Western Sierra Medical Clinic, Inc. was assigned its 1063496396 by the Centers for Medicare & Medicaid Services on 2005-11-30.
As of what date was the information regarding Western Sierra Medical Clinic, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Western Sierra Medical Clinic, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-05-07.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY
NPI Number: 1023011053
Address: 1253 N Vine St, Los Angeles, CA