Mendocino Community Health Clinic, Inc
Mendocino Community Health Clinic, Inc is a Clinic/Center in Lakeport, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
5335 Lakeshore BlvdLakeport, CA 95453-6123
Phone: (707) 263-7725
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X |
|---|---|
| Clinic/Center | Taxonomy 261Q00000X · Licence 110000350 (CA) |
Record details
| NPI number | 1770516304 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tim Dolan — Cfo · (707) 467-2260 |
| Other names | Lakeside Health Center; Lakeside Health Center |
| NPI enumerated | July 8, 2006 |
| Last updated in NPPES | May 3, 2019 |
| Mailing address | 333 Laws Ave, Ukiah, CA 95482-6540 |
Other providers in Lakeport
-
Neeley Clinical Services Inc
347 Lakeport Blvd, Lakeport, CA 95453-5412 · (707) 263-1328
-
Sutter Bay Hospitals
5196 Hill Rd E Ste 300, Lakeport, CA 95453-6360 · (707) 263-6885