1174235378 NPI number — COUNTY OF MENDOCINO

Table of content: (NPI 1174235378)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174235378 NPI number — COUNTY OF MENDOCINO

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF MENDOCINO
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:
Provider Other Organization Name Type Code:
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:
1174235378
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/05/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
747 S STATE ST.
Provider Second Line Business Mailing Address:
ATTENTION: HEATHER CRISS
Provider Business Mailing Address City Name:
UKIAH
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95482
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
707-468-7061
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
737 S STATE ST.
Provider Second Line Business Practice Location Address:
ATTENTION: HEATHER CRISS
Provider Business Practice Location Address City Name:
UKIAH
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95482-9548
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
707-468-7061
Provider Business Practice Location Address Fax Number:
707-463-7744
Provider Enumeration Date:
12/19/2022

Additional Information

Authorized Official

Authorized Official Last Name:
CRISS
Authorized Official First Name:
HEATHER
Authorized Official Middle Name:
Authorized Official Title or Position:
PROGRAM ADMINISTRATOR
Authorized Official Telephone Number:
707-468-7061

Provider Taxonomy Codes

  • Taxonomy code: 251K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1275941676 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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