RUSSIAN RIVER HEALTH CENTER BLDG #2 ANNEX
NPI 1215488705
Clinic/Center - Federally Qualified Health Center (FQHC) in Guerneville, CA

Q: What is West County Health Centers, Inc.'s NPI number?

The NPI number for West County Health Centers, Inc. is 1215488705. It was assigned to this organization in the NPPES registry on October 19, 2016. The provider is doing business as Russian River Health Center Bldg #2 Annex.

Q: What is West County Health Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since October 19, 2016CLIA 05D0612050 · Microscopy

16312 THIRD ST, GUERNEVILLE, CA 95446(707) 869-5977(707) 869-5976 Get Directions Write a Review

NPPES record last updated: October 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Russian River Health Center Bldg #2 Annex NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RUSSIAN RIVER HEALTH CENTER BLDG #2 ANNEX (NPI 1215488705) is a healthcare organization registered as a federally qualified health center (fqhc) in Guerneville, California and active in the NPI registry since October 2016. The organization holds a CLIA Microscopy certificate valid through December 22, 2027 and lists Vikki Minnifield, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1215488705

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameWEST COUNTY HEALTH CENTERS, INC.

Location Address16312 THIRD STGuerneville, CA 95446

Mailing AddressPo Box 1449Guerneville, CA 95446-1449 · (707) 869-5977 · Fax (707) 869-5976

Phone(707) 869-5977

Fax(707) 869-5976

Organization SubpartNo

Authorized OfficialVikki MinnifieldBilling Manager · (707) 869-5977

Enumeration DateOctober 19, 2016

✔ NPI 1215488705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

License✔ Licensed in CA · 110000492

16312 THIRD ST, Guerneville, CA 95446

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Other Names 1

Doing Business AsRussian River Health Center Bldg #2 Annex

Other Identifiers 1

Medicaid1598786352CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0612050

West County Health Centers, Inc Dba Russian River Health Center · Guerneville, CA

Active · expires Dec 22, 2027

CLIA Number05D0612050

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateDecember 23, 2025

Certificate Expiration DateDecember 22, 2027

Laboratory DirectorDeette Deville

Laboratory Phone(707) 869-5977

Laboratory LocationWest County Health Centers, Inc Dba Russian River Health Center16319 Third Street, Guerneville, CA 95446

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LORRAINE MCCUE

Social Worker (Clinical)

16312 THIRD ST
GUERNEVILLE, CA 95446

Sonoma County (707) 869-5977

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is West County Health Centers, Inc.'s NPI number?

The NPI number for West County Health Centers, Inc. is 1215488705. It was assigned to this organization in the NPPES registry on October 19, 2016. The provider is doing business as Russian River Health Center Bldg #2 Annex.

Where is West County Health Centers, Inc. located?

West County Health Centers, Inc. is located at 16312 Third St, Guerneville, CA 95446. The listed phone number is (707) 869-5977.

What is West County Health Centers, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Does West County Health Centers, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0612050) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for West County Health Centers, Inc. was last updated on October 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.