Healthcare Provider Details

I. General information

NPI: 1265573349
Provider Name (Legal Business Name): COUNTY OF MADERA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 03/18/2025
Certification Date: 03/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1604 SUNRISE AVE
MADERA CA
93638-4926
US

IV. Provider business mailing address

1604 SUNRISE AVE
MADERA CA
93638-4926
US

V. Phone/Fax

Practice location:
  • Phone: 559-675-7893
  • Fax: 559-661-2815
Mailing address:
  • Phone: 559-675-7893
  • Fax: 559-661-2815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code261QP0905X
TaxonomyState or Local Public Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SEAN KIRKPATRICK
Title or Position: DEPUTY DIRECTOR
Credential:
Phone: 559-675-7703