NPIMap

Organization Active NPI

County of Mendocino

  • Public Health or Welfare Agency
  • Ukiah, CA
National Provider Identifier
1174235378
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COUNTY OF MENDOCINO
Practice address
737 S State St.
Attention: Heather Criss
Ukiah, CA 95482-9548
Phone
(707) 468-7061
Fax
(707) 463-7744
NPI assigned
Dec 19, 2022
Last updated
Jan 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Authorized official

Name
Heather Criss
Title
Program Administrator
Phone
(707) 468-7061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X NU Primary

Addresses

Primary practice location

737 S State St.
Attention: Heather Criss
Ukiah, CA 95482-9548

Mailing address

747 S State St.
Attention: Heather Criss
Ukiah, CA 95482
Phone (707) 468-7061

Other practice location 1

555 S Orchard Ave
Ukiah, CA 95482-5018
Phone (707) 468-7061

Other identifiers 1

IdentifierTypeStateIssuer
1275941676MedicaidCA

National Provider Directory

National Provider Directory
Tax ID family
Mendocino County Health12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

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

Locations

737 S State St
Ukiah, CA 95482
Phone (707) 468-7061

747 S State St
Ukiah, CA 95482
Phone (707) 533-3793

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1174235378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 S STATE ST.",
            "address_2": "ATTENTION: HEATHER CRISS",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "95482",
            "telephone_number": "707-468-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "737 S STATE ST.",
            "address_2": "ATTENTION: HEATHER CRISS",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954829548",
            "telephone_number": "707-468-7061",
            "fax_number": "707-463-7744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 S Orchard Ave",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954825018",
            "country_code": "US",
            "telephone_number": "707-468-7061",
            "fax_number": "707-463-7744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "COUNTY OF MENDOCINO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "CRISS",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "707-468-7061"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275941676",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.