NPIMap

Organization Active NPI

West County Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Guerneville, CA
National Provider Identifier
1215488705
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
110000492 Issued in CA
Legal business name
WEST COUNTY HEALTH CENTERS, INC.
Practice address
16312 Third St
Guerneville, CA 95446
Phone
(707) 869-5977
Fax
(707) 869-5976
NPI assigned
Oct 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vikki Minnifield
Title
Billing Manager
Phone
(707) 869-5977

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 110000492 CA Primary

Addresses

Primary practice location

16312 Third St
Guerneville, CA 95446

Mailing address

PO Box 1449
Guerneville, CA 95446-1449
Phone (707) 869-5977

Other identifiers 1

IdentifierTypeStateIssuer
1598786352MedicaidCA

Other names 1

  • Russian River Health Center Bldg #2 Annex Doing business as

National Provider Directory

National Provider Directory
Tax ID family
West County Health Cent9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IIBEAA

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1215488705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1449",
            "city": "GUERNEVILLE",
            "state": "CA",
            "postal_code": "954461449",
            "telephone_number": "707-869-5977",
            "fax_number": "707-869-5976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16312 THIRD ST",
            "city": "GUERNEVILLE",
            "state": "CA",
            "postal_code": "95446",
            "telephone_number": "707-869-5977",
            "fax_number": "707-869-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COUNTY HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "MINNIFIELD",
        "authorized_official_first_name": "VIKKI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "707-869-5977"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "CA",
            "license": "110000492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1598786352",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Russian River Health Center Bldg #2 Annex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Guerneville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.