| Western Sierra Medical Clinic, Inc. | |
|
150 Glasson Way Grass Valley CA 95945-5706 | |
| (530) 273-4984 | |
| (530) 273-4573 |
| Full Name | Western Sierra Medical Clinic, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 150 Glasson Way, Grass Valley, California |
| Authorized Official Name and Position | Francine Novak (SENIOR DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5302734984 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Sierra Medical Clinic, Inc. 844 Old Tunnel Rd Grass Valley CA 95945-8524 Ph: (530) 273-4984 | Western Sierra Medical Clinic, Inc. 150 Glasson Way Grass Valley CA 95945-5706 Ph: (530) 273-4984 |
| NPI Number | 1225603558 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225603558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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