1942340997 NPI number — COUNTY OF MONTEREY

Table of content: (NPI 1942340997)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942340997 NPI number — COUNTY OF MONTEREY

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
COUNTY OF MONTEREY
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:
6
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:
1942340997
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1000 S MAIN ST
Provider Second Line Business Mailing Address:
STE 306
Provider Business Mailing Address City Name:
SALINAS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93901-2352
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
831-755-4404
Provider Business Mailing Address Fax Number:
831-755-8476

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
713 LA GUARDIA ST
Provider Second Line Business Practice Location Address:
STE A
Provider Business Practice Location Address City Name:
SALINAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93905-3359
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
831-755-3467
Provider Business Practice Location Address Fax Number:
831-783-7021
Provider Enumeration Date:
02/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
CROMER
Authorized Official First Name:
BECKY
Authorized Official Middle Name:
L
Authorized Official Title or Position:
FINANCE MANAGER II
Authorized Official Telephone Number:
831-755-4404

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: AYD000210 . This is a "AIDS MEDI-CAL WAIVER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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