DORA STREET HEALTH CENTER – NPI #1356714646
Clinic/Center

DORA STREET HEALTH CENTER is an AHC clinic located in UKIAH, CA. NPPES has assigned the NPI number 1356714646 to DORA STREET HEALTH CENTER on November 09, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “DORA STREET HEALTH CENTER” is a dba name, the actual legal business name for this organization is MENDOCINO COMMUNITY HEALTH CLINIC, INC.. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 11 years ago on Nov 20, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DORA STREET HEALTH CENTER below.

NPI Profile for
MENDOCINO COMMUNITY HEALTH CLINIC, INC.

NPI Number
1356714646
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MENDOCINO COMMUNITY HEALTH CLINIC, INC.
Doing Business As (dba): DORA STREET HEALTH CENTER
Primary location
1165 S DORA ST, SUITE A1
UKIAH, CA 95482-8325
Phone: (707) 468-1010 Fax:
Mailing address
333 LAWS AVE
UKIAH, CA 95482-6540
Phone: (707) 468-1010 Fax: (707) 468-0793
Organization Subpart
No
Authorized Official
CAROLE PRESS
C.E.O.
Phone: (707) 468-1010
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.