County of Calaveras
Organization Active NPI Community/Behavioral Health Agency · San Andreas, CA
NPI 1346564465 · NPPES record last updated Nov 4, 2019
Key facts
- NPI
- 1346564465
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- COUNTY OF CALAVERAS
- Practice address
- 373 W St Charles Street
Suite E
San Andreas, CA 95249-9713 - Phone
- (209) 754-6555
- NPI assigned
- Mar 18, 2010
- Organization subpart
- No
Authorized official
- Name
- Stacey Meily
- Title
- Administrative Assistant
- Phone
- (209) 754-6516
Corporate family (same tax ID) 7
National Provider Directory
- Tax ID family
- County of Calaveras
Locations
373 Saint Charles St W
Ste E
San Andreas, CA 95249
Phone (209) 754-6525
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
373 W St Charles Street
Suite E
San Andreas, CA 95249-9713
Mailing address
891 Mountain Ranch Rd
San Andreas, CA 95249-9713
Phone (209) 754-6555
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01087700 | Medicaid | CA |
Other names
- Calaveras County Behavioral Health Services
Other providers in San Andreas, CA
- Kulauri Cooper
- Samantha Jolene Cooper
- Kevin Cornwell
- Whitney Lucille Couchman
- County of Calaveras
- County of Calaveras
- County of Calaveras
- County of Calaveras
- County of Calaveras
- County of Calaveras
All providers in San Andreas, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2019. 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.