MEDICARE: COUNTY OF MERCED

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0855X	Adolescent and Children Mental Health Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275654543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF MERCED

Provider Business Mailing Address
First Line	:	PO BOX 2087
Second Line	:
City	:	MERCED
State	:	CA
Zip	:	95344-0087
Country	:	US
Telephone Number	:	209-381-6800
Fax Number	:

Provider Business Practice Location Address
First Line	:	4225 HOSPITAL RD
Second Line	:
City	:	ATWATER
State	:	CA
Zip	:	95301-5142
Country	:	US
Telephone Number	:	209-381-6800
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	KIMIKO M VANG
Credential	:	DSW, LCSW
Telephone Number	:	209-381-6805

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	05/21/2026

Similar Medicare Providers

1518088970 — COUNTY OF MERCED
Practice Location Address:

4225 HOSPITAL RD
ATWATER, CA
95301-5142

Practice Phone: 209-381-6800
Practice Fax: 209-724-4046

1669303723 — FERNANDA ISABEL SALAZAR-ARRIAGADA
Practice Location Address:

2201 HELLER AVE
ATWATER, CA
95301-3438

Practice Phone: 209-357-6136
Practice Fax:

1346255635 — WALGREEN CO
Practice Location Address:

2730 SHAFFER RD
ATWATER, CA
95301-2225

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1699602763 — REBECCA R WESTLING
Practice Location Address:

717 WEDGEWOOD LN, ATWATER, CALIFORNIA 95301
ATWATER, CA
95301

Practice Phone: 214-929-5183
Practice Fax:

1871594085 — DR. CARLOS C SAY MD
Practice Location Address:

329 E BELLEVUE RD
ATWATER, CA
95301-2306

Practice Phone: 209-358-6494
Practice Fax: 209-358-6498

1356334056 — HENRY W PRATT P.A.
Practice Location Address:

3605 HOSPITAL RD , SUITE M
ATWATER, CA
95301-5173

Practice Phone: 209-383-5500
Practice Fax: 209-383-6910

Directions to “COUNTY OF MERCED ” Practice Location

Language	Start Address	Practice Location

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