DORA STREET HEALTH CENTER
NPI 1356714646
Clinic/Center - Federally Qualified Health Center (FQHC) in Ukiah, CA

Active since November 09, 2015CLIA 05D0856445 · Microscopy
1165 S DORA ST, SUITE A1, UKIAH, CA 95482(707) 468-1010 Get Directions Write a Review

NPPES record last updated: November 20, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 20, 2015, Nov 9, 2015 (2 updates tracked since 2015).

About Dora Street Health Center NPPES

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

DORA STREET HEALTH CENTER (NPI 1356714646) is a healthcare organization registered as a federally qualified health center (fqhc) in Ukiah, California and active in the NPI registry since November 2015. The organization holds a CLIA Microscopy certificate valid through April 19, 2027 and lists Carole Press, C.e.o., as its authorized official.

NPPES Registry Identity

NPI1356714646
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMENDOCINO COMMUNITY HEALTH CLINIC, INC.
Location Address1165 S DORA ST, SUITE A1Ukiah, CA 95482-8325
Mailing Address333 Laws AveUkiah, CA 95482-6540 · (707) 468-1010 · Fax (707) 468-0793
Organization SubpartNo
Authorized OfficialCarole PressC.e.o. · (707) 468-1010
Enumeration DateNovember 9, 2015
Last NPPES UpdateNovember 20, 20152 updates tracked since enumeration
NPI 1356714646 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
1165 S DORA ST, SUITE A1, Ukiah, CA 95482

Other Names 1

Doing Business AsDora Street Health Center

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) 05D0856445

Mendocino Community Health Clinic Inc · Ukiah, CA
Active · expires Apr 19, 2027
CLIA Number05D0856445
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateApril 20, 2025
Certificate Expiration DateApril 19, 2027
Laboratory DirectorSarah Alvord
Laboratory Phone(707) 472-4620
Laboratory LocationMendocino Community Health Clinic Inc333 Laws Avenue, Ukiah, CA 95482
CLIA data matches this NPI record on: Address Name
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.

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 Mendocino Community Health Clinic, Inc.'s NPI number?

The NPI number for Mendocino Community Health Clinic, Inc. is 1356714646. It was assigned to this organization in the NPPES registry on November 9, 2015. The provider is doing business as Dora Street Health Center.

Where is Mendocino Community Health Clinic, Inc. located?

Mendocino Community Health Clinic, Inc. is located at 1165 S Dora St, Suite A1, Ukiah, CA 95482. The listed phone number is (707) 468-1010.

What is Mendocino Community Health Clinic, 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 Mendocino Community Health Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0856445) is associated with this NPI, valid through April 19, 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 Mendocino Community Health Clinic, Inc. was last updated on November 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.