NPIMap

Organization Active NPI

Merced County Department of Alcohol and Drug Services

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Merced, CA
National Provider Identifier
1356647564
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
MERCED COUNTY DEPARTMENT OF ALCOHOL AND DRUG SERVICES
Practice address
3305 G St
Merced, CA 95340-0964
Phone
(209) 381-6880
Fax
(209) 723-6220
NPI assigned
Feb 4, 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

3305 G St
Merced, CA 95340-0964

Mailing address

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

Other names 1

  • Dependency Drug Court, Perinatal, Calworks Other name

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

Locations

3305 G St
Merced, CA 95340
Phone (209) 381-6880

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1356647564",
    "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": "3305 G ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953400964",
            "telephone_number": "209-381-6880",
            "fax_number": "209-723-6220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCED COUNTY DEPARTMENT OF ALCOHOL AND DRUG SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "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": "Dependency Drug Court, Perinatal, Calworks",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Dependency Drug Court, Perinatal, Calworks",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Merced, 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.