Healthcare Provider Details

I. General information

NPI: 1497872063
Provider Name (Legal Business Name): COUNTY OF DEL NORTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 01/07/2025
Certification Date: 01/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 L ST
CRESCENT CITY CA
95531-4114
US

IV. Provider business mailing address

400 L ST
CRESCENT CITY CA
95531-4114
US

V. Phone/Fax

Practice location:
  • Phone: 707-464-0861
  • Fax: 707-465-6701
Mailing address:
  • Phone: 707-464-0861
  • Fax: 707-465-6701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: RANELL BROWN
Title or Position: DIRECTOR
Credential:
Phone: 707-464-3191