| Forestville Wellness Center | |
|
6550 Front Street Forestville CA 95436-0000 | |
| (707) 887-0290 | |
| (707) 887-2790 |
| Full Name | Forestville Wellness Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 6550 Front Street, Forestville, California |
| Authorized Official Name and Position | Mary E Szecsey (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7078691594 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forestville Wellness Center Po Box 1449 Guerneville CA 95446-1449 Ph: (707) 869-5977 | Forestville Wellness Center 6550 Front Street Forestville CA 95436-0000 Ph: (707) 887-0290 |
| NPI Number | 1659630036 |
|---|---|
| Provider Enumeration Date | 05/07/2012 |
| Last Update Date | 05/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659630036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |