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General NPI Number Information
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NPI Number | 1992736086
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Entity Type | Organization
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Legal Business Name | WINTERS HEALTHCARE FOUNDATION, INC.
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 08/19/2020
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Provider Practice Location Address
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Address Line | 172 E GRANT AVE
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City | WINTERS
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State | CA
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Zip | 95694-1780
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Country | US
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Telephone | 530-795-4377
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Fax | 530-795-9541
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Provider Business Mailing Address
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Address Line | 172 E GRANT AVE
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City | WINTERS
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State | CA
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Zip | 95694-1780
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Country | US
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Telephone | 530-795-4377
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Fax | 530-795-9541
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHRISTOPHER KELSCH
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Credential |
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Telephone | 530-795-4377
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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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