Mendocino Community Health Clinic, Inc.
NPI #1770516304 in Lakeport, California
Provider Information
- NPI Number
- 1770516304
- Entity Type
- Organization
- Organization Name
- Mendocino Community Health Clinic, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jul 8, 2006
- Last Updated
- May 3, 2019
Practice Location
- Address
- 5335 LAKESHORE BLVD
- City
- Lakeport
- State
- California
- ZIP Code
- 95453-6123
- Phone
- (707) 263-7725
Authorized Official
- Name
- MR. TIM DOLAN
- Title
- CFO
- Phone
- (707) 467-2260
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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