NPIMap

Organization Active NPI

Alpine County BHS-DMC

  • Community/Behavioral Health Agency
  • Markleeville, CA
National Provider Identifier
1366079469
Registry record updated Mar 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ALPINE COUNTY BHS-DMC
Practice address
40 Diamond Valley Rd
Markleeville, CA 96120-9512
Phone
(530) 694-1816
Fax
(530) 694-2387
NPI assigned
Mar 26, 2020
Last updated
Mar 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2020

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

Authorized official

Name
Stephanie Thornburg Ellis
Title
Fiscal & Administrative Supervisor
Phone
(530) 694-1816

Specialties & licenses 1

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

Addresses

Primary practice location

40 Diamond Valley Rd
Markleeville, CA 96120-9512

Mailing address

40 Diamond Valley Rd
Markleeville, CA 96120-9512
Phone (530) 694-1816

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Markleeville Direct

National Provider Directory

National Provider Directory
Tax ID family
County of Alpine11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Locations

40 Diamond Valley Rd
Markleeville, CA 96120
Phone (530) 694-1816

NPI Registry JSON

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1366079469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 DIAMOND VALLEY RD",
            "city": "MARKLEEVILLE",
            "state": "CA",
            "postal_code": "961209512",
            "telephone_number": "530-694-1816",
            "fax_number": "530-694-2387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 DIAMOND VALLEY RD",
            "city": "MARKLEEVILLE",
            "state": "CA",
            "postal_code": "961209512",
            "telephone_number": "530-694-1816",
            "fax_number": "530-694-2387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE COUNTY BHS-DMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "THORNBURG",
        "authorized_official_title_or_position": "FISCAL & ADMINISTRATIVE SUPERVISOR",
        "authorized_official_telephone_number": "530-694-1816"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Markleeville",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "40 Diamond Valley Rd",
            "city": "Markleeville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "961209512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Markleeville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.