Mendocino Community Health Clinic, Inc. in Ukiah - Federally Qualified Health Center (fqhc)
Mendocino Community Health Clinic, Inc. - NPI 1497961106
Mendocino Community Health Clinic, Inc. is a Federally Qualified Health Center (fqhc) in Ukiah, California. Mendocino Community Health Clinic, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Mendocino Community Health Clinic, Inc. is 1497961106. The last update date is 2013-03-12.
Mendocino Community Health Clinic, Inc.'s current location address is 333 Laws Ave, Ukiah, California. You can contact this provider via phone number 7074681010 and fax number 7074627078. The mailing address for Mendocino Community Health Clinic, Inc. is 333 Laws Ave, Ukiah, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mendocino Community Health Clinic, Inc. |
|---|---|
| Address | 333 Laws Ave, Ukiah, California |
| Phone Number | 7074681010 |
| Fax Number | 7074627078 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | C.E.O. |
|---|---|
| Authorized Official Name | Hunter J Linnea |
| Telephone Number | 7074724511 |
NPI Number Detail
| NPI Number | 1497961106 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2013-03-12 |
Provider Mailing Address Detail
| Address | 333 Laws Ave |
|---|---|
| City | Ukiah |
| State | California (CA) |
| Post Code | 954826540 |
| Phone Number | 7074681010 |
| Fax Number | 7074627078 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 110000360 |
|
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 |
|---|---|---|---|
| FHC03933F | CA | -- | |
| FHC70968F | CA | -- | |
| FHC70845F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mendocino Community Health Clinic, Inc. by the Centers for Medicare & Medicaid Services?
The Mendocino Community Health Clinic, Inc. has been issued the NPI (National Provider Identifier) 1497961106, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Mendocino Community Health Clinic, Inc.'s facilities are situated?
The facilities of Mendocino Community Health Clinic, Inc. are physically located at the following address: 333 Laws Ave, Ukiah, CA, 954826540.
What is Mendocino Community Health Clinic, Inc.'s area of expertise and its corresponding taxonomy classification?
The Mendocino Community Health Clinic, Inc.'s field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1497961106 to Mendocino Community Health Clinic, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1497961106 to Mendocino Community Health Clinic, Inc. on 2007-05-16.
As of what date were the details pertaining to Mendocino Community Health Clinic, Inc. last refreshed?
The information related to the Mendocino Community Health Clinic, Inc., including its address, specialty, and other relevant details, was last updated on 2013-03-12.