institution
Western Sierra Medical Clinic, Inc.
Federally Qualified Health Center (FQHC) in Auburn, California
NPI 1144770793

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 Auburn, CA. The NPI Number for Western Sierra Medical Clinic, Inc. is 1144770793 and holds a License No. 230000145 (California).

The current practice location address for Western Sierra Medical Clinic, Inc. is 12183 Locksley Ln Ste 107, Auburn, CA and can be reached out via phone at 530-273-4984 and via fax at 530-273-4573.

Location: 12183 Locksley Ln Ste 107, Auburn, CA, 95945-8524
institution
Provider Profile Details
NPI Number
1144770793
Provider Name
Western Sierra Medical Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
12183 Locksley Ln Ste 107, Auburn, CA, 95945-8524
Phone Number
530-273-4984
Fax Number
530-273-4573
Provider Enumeration Date
10/06/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1851513469 01 CA PARENT NPI
institution
Provider Business Practice Location Address Details
Address
12183 Locksley Ln Ste 107
City
State
Zip
95602
Phone Number
530-273-4984
Fax Number
530-273-4573
person
Provider Business Mailing Address Details
Address
12183 Locksley Ln Ste 107
City
State
Zip
95602
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.
230000145 (California)
Definition
Definition to come...
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