NPIMap

Organization Active NPI

Amdor County TCM Program

  • Case Management Agency
  • Sutter Creek, CA
National Provider Identifier
1093998221
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
AMDOR COUNTY TCM PROGRAM
Practice address
10877 Conductor Blvd Ste 400
Sutter Creek, CA 95685-9688
Phone
(209) 223-6407
NPI assigned
Dec 11, 2007
Last updated
Apr 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Louis Boitano
Title
Board of Supervisor-Chairman
Phone
(209) 223-6470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

10877 Conductor Blvd Ste 400
Sutter Creek, CA 95685-9688

Mailing address

10877 Conductor Blvd Ste 400
Sutter Creek, CA 95685-9688
Phone (209) 223-6407

National Provider Directory

National Provider Directory
Tax ID family
Amador Hospital Emerg Dept3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

10877 Conductor Blvd
Ste 400
Sutter Creek, CA 95685
Phone (209) 223-6407

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208131200000",
    "number": "1093998221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10877 CONDUCTOR BLVD STE 400",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859688",
            "telephone_number": "209-223-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10877 CONDUCTOR BLVD STE 400",
            "city": "SUTTER CREEK",
            "state": "CA",
            "postal_code": "956859688",
            "telephone_number": "209-223-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMDOR COUNTY TCM PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-11",
        "last_updated": "2008-04-14",
        "status": "A",
        "authorized_official_last_name": "BOITANO",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_title_or_position": "BOARD OF SUPERVISOR-CHAIRMAN",
        "authorized_official_telephone_number": "209-223-6470"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sutter Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.