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Contact Information

COUNTY OF MENDOCINO
518 LOW GAP RD
UKIAH, CA95482-3735
 Phone: 707-472-2637
 Fax: 707-472-2657
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
 

Public Health or Welfare

251K00000X 60 Public Health or Welfare Agency
 

Public Health, Federal

261QP0904X
 

Public Health, State or Local

261QP0905X
Indicates primary specialty

NPI Profile & details for COUNTY OF MENDOCINO

NPI # 1649468968
LBN Legal business name COUNTY OF MENDOCINO
Authorized official JENINE MILLER - (BHRS DEPUTY DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2007
Last updated 07/01/2014 - About 12 years ago
Identifiers
CA Medicaid 2305
CA Other 2305 DRUG MEDI-CAL
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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