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General NPI Number Information
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NPI Number | 1851513469
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Entity Type | Organization
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Legal Business Name | WESTERN SIERRA MEDICAL CLINIC, INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 03/19/2026
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Provider Practice Location Address
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Address Line | 209 NEVADA STREET
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City | DOWNIEVILLE
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State | CA
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Zip | 95936-0286
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Country | US
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Telephone | 530-289-3298
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Fax | 530-289-3159
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Provider Business Mailing Address
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Address Line | 844 OLD TUNNEL RD
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City | GRASS VALLEY
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State | CA
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Zip | 95945-8524
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Country | US
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Telephone | 530-289-3298
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Fax | 530-289-3159
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Authorized Official
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Title or Position | PDO
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Name | DR. FRANCINE NOVAK
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Credential |
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Telephone | 530-802-2706
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | 230000145
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License Number State | CA
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