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NPI Code Detail

MEDICARE: COUNTY OF BUTTE

MEDICARE: COUNTY OF BUTTE
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
1251S00000XCommunity/Behavioral Health Agency
2261QM0855XAdolescent and Children Mental Health Clinic/Center
3261QM0850XAdult Mental Health Clinic/Center

General Provider Information

NPI Number : 1578623583
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF BUTTE
Provider Business Mailing Address
First Line : 560 COHASSET ROAD
Second Line : SUITE 175
City : CHICO
State : CA
Zip : 95926-2212
Country : US
Telephone Number : 530-891-2980
Fax Number : 530-895-6548
Provider Business Practice Location Address
First Line : 560 COHASSET ROAD
Second Line : SUITE 175
City : CHICO
State : CA
Zip : 95926-2212
Country : US
Telephone Number : 530-891-2784
Fax Number : 530-891-2809
Authorized Official
Title or Position : ASSISTANT DIRECTOR
Name : AMY WILNER
Credential : MPA
Telephone Number : 530-879-3367
Provider Enumeration Date : 12/11/2006
Last Update Date : 11/02/2011

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Directions to “COUNTY OF BUTTE ” Practice Location

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