County of Merced

Organization Active NPI Psychiatric Hospital · Merced, CA

NPI 1013030808 · NPPES record last updated Aug 27, 2019

Key facts

NPI
1013030808
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Hospital 283Q00000X
Legal business name
COUNTY OF MERCED
Practice address
300 E 15TH St Ste B
Merced, CA 95341-6217
Phone
(209) 381-6879
NPI assigned
Apr 9, 2007
Organization subpart
No

Authorized official

Name
Mr. Kurt Craig, MIPP/US
Title
Compliance Officer
Phone
(209) 381-6818

Other NPIs on the same Medicare enrollment 6

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 48

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031217000468 CA Part B Supplier - Clinic/Group Practice 0941107973 Receives reassigned benefits from 5 practitioners
6 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Merced, CA; Los Banos, CA; Livingston, CA

National Provider Directory

Tax ID family
Merced County Department of Alcohol and Drug Services (45 organizations share this tax ID)

Locations

300 E 15th St
Ste B
Merced, CA 95341
Phone (209) 381-6879

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 106244027 CA
Psychiatric Hospital 283Q00000X
Psychiatric Hospital 283Q00000X CA Yes

Addresses

Primary practice location

300 E 15TH St Ste B
Merced, CA 95341-6217

Mailing address

P.O. Box 2087
Merced, CA 95344-0087
Phone (209) 381-6800

Other identifiers

IdentifierTypeStateIssuer
2415MedicaidCA

Other names

  • Marie Green Psychiatric Healthcare Facility Other name

Other providers in Merced, CA

All providers in Merced, CA · Psychiatric Hospital in California

Sources for this page

Verify at the official NPI Registry.