County of Madera

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

COUNTY OF MADERA

Doing business as

Chowchilla Recovery Center MH

Practice address

215 S 4TH St
Chowchilla, CA 93610-2818

Phone

(559) 665-2947

NPI assigned

Apr 10, 2007

Last updated

Dec 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dennis P Koch, MPA

Title

Director Behavioral Health Services

Phone

(559) 673-3508

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Chowchilla Recovery Center MH Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• County of Madera

  dba County of Madera Department of Public Health

  • State or Local Public Health Clinic/Center
  • Madera, CA
  • NPI 1265573349

  O20041228000684

  Same enrollment
• County of Madera

  dba BHS 7th Street MH

  • Community/Behavioral Health Agency
  • Madera, CA
  • NPI 1437372554

  O20041228000684

  Same enrollment
• County of Madera

  dba Oakhurst Counseling Center MH

  • Community/Behavioral Health Agency
  • Oakhurst, CA
  • NPI 1801019922

  O20041228000684

  Same enrollment

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1821211947",
    "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": "559-673-3508",
            "fax_number": "559-675-4999"
        },
        {
            "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": "559-665-2947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF MADERA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR BEHAVIORAL HEALTH SERVICES",
        "authorized_official_telephone_number": "559-673-3508",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA DEPT. OF MENTAL HEALTH",
            "identifier": "2057",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chowchilla Recovery Center MH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Community Health Centers of America
• Patricia C Coorengel
• Corrections and Rehabilitation-Headquarters (CCWF Pharmacy)
• Corrections and Rehabilitation-Headquarters (Valley State Prison Pharmacy)
• County of Madera (Chowchilla Recovery Center SUD)
• Kathrine Crenshaw
• Brooke Lynette Criswell, LCSW
• Jennifer David
• Development Specialty Projects, Inc. (Health Care Dual Diagnosis Clinics II)
• Dewitts Drug Store L P (Dewitts Drug Store)

• Community/Behavioral Health Agency in Chowchilla, CA
• Providers in Chowchilla, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.