Joseph R Beauchamp
Individual provider Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Grass Valley, CA
NPI 1043633779 · NPPES record last updated Jan 31, 2014
Key facts
- NPI
- 1043633779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- Practice address
- 714 W. Main St
Grass Valley, CA 95945 - Phone
- (530) 477-9800
- Fax
- (530) 477-9803
- NPI assigned
- Jan 31, 2014
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | Yes |
Addresses
Primary practice location
714 W. Main St
Grass Valley, CA 95945
Mailing address
714 W. Main St
Grass Valley, CA 95945
Phone (530) 477-9800
Other providers in Grass Valley, CA
- Lauren Batalias
- Ruslan Batko
- Ingrid Bauer
- Kelsey Baumstinger
- Wendi Lee Beatty
- Joseph Buitron Beauvais
- Rick Edward Beberg
- Amanda Lee Beck
- Cary Lynn Becker
- Derek Chad Becker
All providers in Grass Valley, CA · Emotionally Disturbed Childrens' Residential Treatment Facility in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 31, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.