Mendocino Community Health Clinic Inc
Doing business as Dora Street Health Center Sute A1
Federally qualified health center in Ukiah, CA, Medicare certification number 921101.
Medicare certification
Provider of Services- CCN
- 921101
- Status
- Active
- Provider type
- Federally qualified health center
- Control type
- For profit – corporation
- Participating since
- Nov 27, 2018
- Last certification
- Nov 27, 2018
- Address
- 1165 S Dora St, Ste A1
Ukiah, CA 95482
(707) 468-1010
NPI records for this facility (CCN to NPI Mapping) 1
-
dba Dora Street Health Center
- Federally Qualified Health Center (FQHC)
- Ukiah, CA
- NPI 1356714646
Medicare enrollment
Sources for this page
- Provider of Services: the certification, provider type, beds and status.
- Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
- NPPES NPI Registry: the NPI records connected to this certification.