Organization · Type 2 NPI
Mendocino Community Health Clinic, Inc.
Federally Qualified Health Center (FQHC) · Lakeport, CA
NPI number
1770516304
Active
Practice location
5335 Lakeshore Blvd
Lakeport, CA 95453-6123
Mailing address
333 Laws Ave
Ukiah, CA 95482-6540
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | 110000350 (CA) |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
8 other providers at this address
- Charles Joseph Seage, MDInternal Medicine Physician Lakeport, CA NPI 1124348396
- Irinna Andrianarijaona, FNPFamily Nurse Practitioner Lakeport, CA NPI 1376052027
- Javier Arroyo, DCChiropractor Lakeport, CA NPI 1821183732
- Jenny Senff, FNP, RNRegistered Nurse Lakeport, CA NPI 1134299043
- John Granville Jenkins, DDSDentist Lakeport, CA NPI 1114097144
- Karen J. Kennedy, PAMedical Physician Assistant Lakeport, CA NPI 1326118365
- Linda Wasserman, MDPediatrics Physician Lakeport, CA NPI 1851371181
- Tina Ngo, DDSGeneral Practice Dentistry Lakeport, CA NPI 1043687007
Other federally qualified health center (fqhc) providers in Lakeport
About NPI 1770516304
Mendocino Community Health Clinic, Inc.'s National Provider Identifier is 1770516304, issued on Jul 8, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lakeport, CA. The record was last updated on May 3, 2019.