NPIMap

Organization Active NPI

County of Madera

Doing business as Chowchilla Recovery Center SUD

  • Community/Behavioral Health Agency
  • Chowchilla, CA
National Provider Identifier
1649392192
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
COUNTY OF MADERA
Doing business as
Chowchilla Recovery Center SUD
Practice address
215 S 4TH St
Chowchilla, CA 93610-2818
Phone
(559) 395-0452
Fax
(559) 665-8641
NPI assigned
Apr 4, 2007
Last updated
Aug 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Connie Moreno-Peraza
Title
Director Behavioral Health Services
Phone
(559) 395-0451

Specialties & licenses 1

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

Addresses

Primary practice location

215 S 4TH St
Chowchilla, CA 93610-2818

Mailing address

PO Box 1288
Madera, CA 93639-1288
Phone (559) 395-0451

Other identifiers 1

IdentifierTypeStateIssuer
20AAOtherCADRUG MEDICAL NUMBER

Other names 1

  • Chowchilla Recovery Center SUD Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Madera County Behavioral Health15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

215 S 4th St
Chowchilla, CA 93610
Phone (559) 395-0452

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1649392192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936391288",
            "telephone_number": "559-395-0451",
            "fax_number": "559-675-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S 4TH ST",
            "city": "CHOWCHILLA",
            "state": "CA",
            "postal_code": "936102818",
            "telephone_number": "559-395-0452",
            "fax_number": "559-665-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MADERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "MORENO-PERAZA",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "DIRECTOR BEHAVIORAL HEALTH SERVICES",
        "authorized_official_telephone_number": "559-395-0451"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRUG MEDICAL NUMBER",
            "identifier": "20AA",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chowchilla Recovery Center SUD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chowchilla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.