institution
Western Sierra Medical Clinic, Inc.
Federally Qualified Health Center (FQHC) in Grass Valley, California
NPI 1063496396

Western Sierra Medical Clinic, Inc. is a Federally Qualified Health Center (FQHC) based in Grass Valley, CA and is specialized in Federally Qualified Health Center (FQHC). Western Sierra Medical Clinic, Inc. practices in Grass Valley, CA. The NPI Number for Western Sierra Medical Clinic, Inc. is 1063496396 and holds a License No. G43289 (California).

The current practice location address for Western Sierra Medical Clinic, Inc. is 844 Old Tunnel Rd, Grass Valley, CA and can be reached out via phone at 530-273-4984 and via fax at 530-273-4573.

Location: 844 Old Tunnel Rd, Grass Valley, CA, 95945-8524
institution
Provider Profile Details
NPI Number
1063496396
Provider Name
Western Sierra Medical Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
844 Old Tunnel Rd, Grass Valley, CA, 95945-8524
Phone Number
530-273-4984
Fax Number
530-273-4573
Provider Enumeration Date
11/30/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ22465Z 01 CA MEDICARE ID TYPE-UNSPECIFIED
FHC70988F 05 CA
051002 01 CA MEDICARE ID TYPE-UNSPECIFIED
institution
Provider Business Practice Location Address Details
Address
844 Old Tunnel Rd
City
State
Zip
95945-8524
Phone Number
530-273-4984
Fax Number
530-273-4573
person
Provider Business Mailing Address Details
Address
844 Old Tunnel Rd
City
State
Zip
95945-8524
Phone Number
530-273-4984
Fax Number
530-273-4573
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
G43289 (California)
Definition
Definition to come...
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