Healthcare Provider Details
I. General information
NPI: 1255132817
Provider Name (Legal Business Name): COUNTY OF BUTTE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/20/2025
Last Update Date: 07/08/2025
Certification Date: 07/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2080 E 20TH ST STE 180
CHICO CA
95928-7703
US
IV. Provider business mailing address
202 MIRA LOMA DR
OROVILLE CA
95965-3500
US
V. Phone/Fax
- Phone: 530-552-3839
- Fax:
- Phone: 530-552-3877
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 124Q00000X |
| Taxonomy | Dental Hygienist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DEANNE
BLANKENSHIP
Title or Position: ASSISTANT DIRECTOR
Credential:
Phone: 530-552-3877