NPIMap

Organization Active NPI

County of Merced

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Los Banos, CA
National Provider Identifier
1265738124
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
COUNTY OF MERCED
Practice address
40 W G St Ste a-E
Los Banos, CA 93635-3657
Phone
(209) 710-6110
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

40 W G St Ste a-E
Los Banos, CA 93635-3657

Mailing address

PO Box 2087
Merced, CA 95344-0087
Phone (209) 381-6800

Other names 1

  • BHRS Los Banos Alcohol and Drug Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Merced County Department of Alcohol and Drug Services45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

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

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1265738124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2087",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953440087",
            "telephone_number": "209-381-6800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W G ST STE A-E",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936353657",
            "telephone_number": "209-710-6110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MERCED",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "209-381-6818",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CIPP/US"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHRS Los Banos Alcohol and Drug Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BHRS Los Banos Alcohol and Drug Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Banos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2019; 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.