Tehama County Health Services Agency Mental Health Division
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Red Bluff, CA
NPI 1164638334 · NPPES record last updated May 29, 2024
Key facts
- NPI
- 1164638334
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- TEHAMA COUNTY HEALTH SERVICES AGENCY MENTAL HEALTH DIVISION
- Practice address
- 1445 Vista Way
Red Bluff, CA 96080-4510 - Phone
- (530) 527-8491
- Fax
- (530) 527-0240
- NPI assigned
- May 15, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- TEHAMA COUNTY
Authorized official
- Name
- Ms. Jayme S Bottke
- Title
- Executive Director
- Phone
- (530) 527-8491
Parent organization (reported in NPPES) 1
Corporate family (same tax ID) 9
Practitioners 6
-
Colleen Carol Jaqua, REGISTERED NURSE
National Provider Directory
- Tax ID family
- Tehama County Health Ag
- Part of
- Tehama County Health Ag
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
1445 Vista Way
Red Bluff, CA 96080-4510
Mailing address
PO Box 400
Red Bluff, CA 96080-0400
Phone (530) 527-8491
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000005248 | Medicaid | CA |
Other providers in Red Bluff, CA
- Tehama County
- Tehama County
- Tehama County Department of Education
- Tehama County Health Agency
- Tehama County Health Services Agency - Drug and Alcohol Services
- Tehama Pharmacy and Trading Company
- Tehama Pharmacy and Trading Company
- Tehama Pharmacy and Trading Company
- Tehama Surgery Center, Inc
- Tehama Womens Health Specialists
All providers in Red Bluff, CA · Mental Health Clinic/Center (Including Community Mental Health Center) in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 29, 2024. 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.