Mendonoma Health Alliance
NPI 1083330807ActiveOrganization· Case Management· Gualala, CA
Case Management in Gualala, California, registered in NPPES in October 2022. The authorized official on file is Micheline Marie White, Executive Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083330807 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 13, 2022 |
| Last updated in NPPES | Nov 12, 2025 |
| Certified by provider | Nov 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Case Management Primary | 251B00000X | — | — |
| Clinic/Center, Community Health | 261QC1500X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|