EL DORADO COUNTY MENTAL HEALTH; NPI #1316158082

Contact Information

EL DORADO COUNTY MENTAL HEALTH

768 PLEASANT VALLEY ROAD
DIAMOND SPRINGS, CA 95619

Phone: 530-621-6290
Fax: 530-622-1293
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Mental Health (Including Community Mental Health Center)	261QM0801X	B4[14]	Community Mental Health Center

Indicates primary specialty

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NPI Profile & details for EL DORADO COUNTY MENTAL HEALTH

NPI # 1316158082

LBN Legal business name EL DORADO COUNTY MENTAL HEALTH

Authorized official PATRICIA CHARLES-HEATHERS - (ASST. DIRECTOR OF HEALTH SERVICES)

Entity Organization

Organization subpart ¹ No

Enumeration date 05/24/2007

Last updated 01/16/2014 - About 12 years ago

Identifiers

License #

0958

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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