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MENDOCINO COAST CLINICS INC
NPI 1528736022
Clinic/Center - Federally Qualified Health Center (FQHC) in Fort Bragg, CA

Active since August 31, 2021
101 N FRANKLIN ST, FORT BRAGG, CA 95437(707) 961-0172 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mendocino Coast Clinics Inc NPPES

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

MENDOCINO COAST CLINICS INC (NPI 1528736022) is a healthcare organization registered as a federally qualified health center (fqhc) in Fort Bragg, California and active in the NPI registry since August 2021. The organization lists Lucresha M Renteria, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1528736022
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameMENDOCINO COAST CLINICS INC
Location Address101 N FRANKLIN STFort Bragg, CA 95437-3602
Mailing Address205 South StFort Bragg, CA 95437-5540 · (707) 964-1251 · Fax (707) 961-2722
Phone(707) 961-0172
Organization SubpartNo
Authorized OfficialLucresha M RenteriaExecutive Director · (707) 964-1251
Enumeration DateAugust 31, 2021
NPPES CertifiedJuly 26, 2021
✔ NPI 1528736022 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
101 N FRANKLIN ST, Fort Bragg, CA 95437
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Other Providers at the Same Location NPPES 8

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

JENNIFER LYNN SALLEE
Day Training/Habilitation Specialist
101 N FRANKLIN ST
FORT BRAGG, CA 95437
Mendocino County (707) 941-0413
MATEO EZEQUIEL ORTIZ CUESTA
Day Training/Habilitation Specialist
101 N FRANKLIN ST
FORT BRAGG, CA 95437
Mendocino County (707) 941-0859
ANNA SHAW
Community Health Worker
101 N FRANKLIN ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-0172
NICOLE PARAVICINI
Counselor (Mental Health)
101 N FRANKLIN ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-0172
LESLI LANGSLET M.H.R.S.
Community Health Worker
101 N FRANKLIN ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-0172
TAMMIE GILCHRIST
Student in an Organized Health Care Education/Training Program
101 N FRANKLIN ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-0172
TIMOTHY MAITLAND RENDELL
Case Manager/Care Coordinator
101 N FRANKLIN ST
FORT BRAGG, CA 95437
Mendocino County (707) 345-4012
MATTHEW LOUIS PULLUM
Case Manager/Care Coordinator
101 N FRANKLIN ST
FORT BRAGG, CA 95437
Mendocino County (707) 961-0172

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 Coast Clinics Inc's NPI number?

The NPI number for Mendocino Coast Clinics Inc is 1528736022. It was assigned to this organization in the NPPES registry on August 31, 2021.

Where is Mendocino Coast Clinics Inc located?

Mendocino Coast Clinics Inc is located at 101 N Franklin St, Fort Bragg, CA 95437. The listed phone number is (707) 961-0172.

What is Mendocino Coast Clinics Inc's specialty?

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

When was this NPI record last updated?

The NPPES record for Mendocino Coast Clinics Inc was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.