GRAVENSTEIN COMMUNITY HEALTH CENTER – NPI #1861809501
Clinic/Center

GRAVENSTEIN COMMUNITY HEALTH CENTER is an AHC clinic located in SEBASTOPOL, CA. NPPES has assigned the NPI number 1861809501 to GRAVENSTEIN COMMUNITY HEALTH CENTER on July 15, 2014. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “GRAVENSTEIN COMMUNITY HEALTH CENTER” is a dba name, the actual legal business name for this organization is WEST COUNTY HEALTH CENTERS, 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 12 years ago on Dec 04, 2014. 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 GRAVENSTEIN COMMUNITY HEALTH CENTER below.

NPI Profile for
WEST COUNTY HEALTH CENTERS, INC.

NPI Number
1861809501
Enumeration Date

(about 12 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
WEST COUNTY HEALTH CENTERS, INC.
Doing Business As (dba): GRAVENSTEIN COMMUNITY HEALTH CENTER
Primary location
652 PETALUMA AVE
SEBASTOPOL, CA 95472-4256
Phone: (707) 869-5977 Fax: (707) 869-5976
Mailing address
PO BOX 1449
GUERNEVILLE, CA 95446-1449
Phone: (707) 869-5977 Fax: (707) 869-5976
Organization Subpart
No
Authorized Official
MARY SZECSEY
EXECUTIVE DIRECTOR
Phone: (707) 869-1594
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.