National Provider Identifier Database

COUNTY OF MENDOCINO
Public Health or Welfare


Contact Information

COUNTY OF MENDOCINO
790 S FRANKLIN ST
SUITE #B
FORT BRAGG, CA95437-5456
Phone: 707-472-2621
Fax:
Website:
Specialty Taxonomy Code
* Public Health or Welfare 251K00000X
Public Health, Federal 261QP0904X
Public Health, State or Local 261QP0905X

* Indicates primary specialty

NPI Profile & details for COUNTY OF MENDOCINO

NPI Number 1831478148
Legal business name
LBN
COUNTY OF MENDOCINO
Authorized official LESLIE KIRKPATRICK - (PROGRAM MANAGER)
Entity Organization
Organization subpart Yes
Enumeration date 08/04/2011
Last updated 08/04/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Other: 2302 MEDI-CAL #

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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