| Winters Healthcare Foundation, Inc. | |
|
172 E Grant Ave Winters CA 95694-1780 | |
| (530) 795-4377 | |
| (530) 795-9541 |
| Full Name | Winters Healthcare Foundation, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 172 E Grant Ave, Winters, California |
| Authorized Official Name and Position | Christopher Kelsch (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5307954377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Winters Healthcare Foundation, Inc. 172 E Grant Ave Winters CA 95694-1780 Ph: (530) 795-4377 | Winters Healthcare Foundation, Inc. 172 E Grant Ave Winters CA 95694-1780 Ph: (530) 795-4377 |
| NPI Number | 1992736086 |
|---|---|
| Provider Enumeration Date | 07/06/2006 |
| Last Update Date | 08/19/2020 |
| Medicare PECOS PAC ID | 2567490238 |
|---|---|
| Medicare Enrollment ID | O20050803000213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992736086 | NPI | - | NPPES |
| 030000787 | Other | CA | STATE LICENSE |
| HAP71037F | Medicaid | CA | |
| ZZZ04589Z | Other | CA | MEDICARE PTAN |
| 2254671 | Other | CA | STATE CORPORATION NUMBER |
| BCP71037F | Medicaid | CA | |
| FHC71037F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |