1831340447 NPI number — COUNTY OF SUTTER

Table of content: (NPI 1831340447)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831340447 NPI number — COUNTY OF SUTTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF SUTTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
SYBH (MHSA BEST & HOPE PROGRAMS)
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1831340447
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/24/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1965 LIVE OAK BLVD
Provider Second Line Business Mailing Address:
ATTN SYBH MHSA BEST & HOPE PROGRAMS
Provider Business Mailing Address City Name:
YUBA CITY
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95991-8850
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
530-822-7200
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1965 LIVE OAK BLVD STE C
Provider Second Line Business Practice Location Address:
ATTN SYBH MHSA BEST & HOPE PROGRAMS
Provider Business Practice Location Address City Name:
YUBA CITY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95991-8850
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
530-822-7200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/02/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BINGHAM
Authorized Official First Name:
RICK
Authorized Official Middle Name:
Authorized Official Title or Position:
ASSISTANT HHS DIRECTOR
Authorized Official Telephone Number:
530-822-7327

Provider Taxonomy Codes

  • Taxonomy code: 261QM0850X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 5887 . This is a "SHORT-DOYLE MEDI-CAL" identifier . This identifiers is of the category "OTHER".