NPIMap

Organization Active NPI

County of Riverside

Doing business as Blythe Substance Use Program

  • Community/Behavioral Health Agency
  • Blythe, CA
National Provider Identifier
1285700435
Registry record updated Dec 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF RIVERSIDE
Doing business as
Blythe Substance Use Program
Practice address
1297 W Hobsonway
Blythe, CA 92225-1423
Phone
(760) 921-5019
Fax
(760) 921-5010
NPI assigned
Nov 28, 2006
Last updated
Dec 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2014

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

Authorized official

Name
Mr. Jerry A Wengerd
Title
Director, Dept. of Mental Health
Phone
(951) 358-4501

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1297 W Hobsonway
Blythe, CA 92225-1423

Mailing address

3525 Presley Ave
Riverside, CA 92507-4453
Phone (951) 782-2400

Other names 1

  • Blythe Substance Use Program Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Riverside County Mental Health Department245 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1285700435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 PRESLEY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925074453",
            "telephone_number": "951-782-2400",
            "fax_number": "951-683-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1297 W HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251423",
            "telephone_number": "760-921-5019",
            "fax_number": "760-921-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF RIVERSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "WENGERD",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR, DEPT. OF MENTAL HEALTH",
        "authorized_official_telephone_number": "951-358-4501",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blythe Substance Use Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Blythe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.