LITTLE LAKE HEALTH CENTER
NPI 1922020585
Clinic/Center - Federally Qualified Health Center (FQHC) in Willits, CA

Q: 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.

Active since July 24, 2006

45 HAZEL ST, WILLITS, CA 95490(707) 456-9600 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Little Lake Health Center NPPES

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

LITTLE LAKE HEALTH CENTER (NPI 1922020585) is a healthcare organization registered as a federally qualified health center (fqhc) in Willits, California and active in the NPI registry since July 2006. The organization lists Tim Dolan, Cfo, as its authorized official.

NPPES Registry Identity

NPI1922020585

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameMENDOCINO COMMUNITY HEALTH CLINIC, INC.

Location Address45 HAZEL STWillits, CA 95490

Mailing Address333 Laws AveUkiah, CA 95482-6540 · (707) 468-1010

Phone(707) 456-9600

Organization SubpartNo

Authorized OfficialTim DolanCfo · (707) 467-2260

Enumeration DateJuly 24, 2006

Last NPPES UpdateMay 3, 2019

✔ NPI 1922020585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code261QF0400X

Also ListedClinic/CenterTaxonomy 261Q00000X · License 110000500 (CA)

45 HAZEL ST, Willits, CA 95490

Open in Google Maps ↗

Other Names 1

Other NameLittle Lake Health Center

Other Identifiers 2

MedicaidFHC70968FCA

OtherHAP70968FCA · Familypact

Other Providers at the Same Location NPPES 4

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

LARRY D SULLIVAN DDS

Dentist

45 HAZEL ST
WILLITS, CA 95490

Mendocino County (707) 456-9700

MARGARET LUCY ARNER M.D.

Family Medicine

45 HAZEL ST
WILLITS, CA 95490

Mendocino County (707) 456-9600

HUONG TRAN DMD

Dentist

45 HAZEL ST
WILLITS, CA 95490

Mendocino County (707) 456-9600

JOLEEN BUFFINGTON WHNP-BC

Nurse Practitioner (Obstetrics & Gynecology)

45 HAZEL ST
WILLITS, CA 95490

Mendocino County (707) 456-9600

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 1922020585. It was assigned to this organization in the NPPES registry on July 24, 2006. The provider is also known as Little Lake Health Center.

Where is Mendocino Community Health Clinic, Inc. located?

Mendocino Community Health Clinic, Inc. is located at 45 Hazel St, Willits, CA 95490. The listed phone number is (707) 456-9600.

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.

When was this NPI record last updated?

The NPPES record for Mendocino Community Health Clinic, Inc. was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.