Mendocino Community Health Clinic, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

MENDOCINO COMMUNITY HEALTH CLINIC, INC.

Practice address

1165 S Dora St Ste C
Ukiah, CA 95482-8325

Phone

(707) 468-1010

NPI assigned

Jan 2, 2025

Last updated

Jan 2, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lavonna Marie Schrock

Title

Director of Finance

Phone

(707) 468-2219

Specialties & licenses 1

Addresses

Other names 1

• MCHC Health Centers - Dora Street Suite C Other name

Locations

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1982413274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LAWS AVE",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954826540",
            "telephone_number": "707-468-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 S DORA ST STE C",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954828325",
            "telephone_number": "707-468-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDOCINO COMMUNITY HEALTH CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "SCHROCK",
        "authorized_official_first_name": "LAVONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "707-468-2219"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCHC Health Centers - Dora Street Suite C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mendocino Care Network (Madrone Care Network)
• Mendocino Community Health Clinic, Inc. (Dora Street Health Center)
• Mendocino Community Health Clinic, Inc.
• Mendocino Community Health Clinic, Inc.
• Mendocino Community Health Clinic, Inc.
• Mendocino County
• Mendocino County AIDS Volunteer Network (Mendocino County AIDS/Viral Hepatitis Network)
• Mendocino County AIDS/Viral Hepatitis Network
• Mendocino County Superintendent of Schools (Mendocino County Office of Education)
• Mendocino County Youth Project

• Federally Qualified Health Center (FQHC) in Ukiah, CA
• Providers in Ukiah, CA by specialty
• Federally Qualified Health Center (FQHC) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.