Healthcare Provider Details
I. General information
NPI: 1518487289
Provider Name (Legal Business Name): COUNTY OF SUTTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/23/2017
Last Update Date: 08/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
215 5TH ST STE 154
MARYSVILLE CA
95901-5737
US
IV. Provider business mailing address
PO BOX 1520
YUBA CITY CA
95992-1520
US
V. Phone/Fax
- Phone: 530-749-7550
- Fax: 530-749-7364
- Phone: 530-822-7200
- Fax: 530-822-5061
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RICK
BINGHAM
Title or Position: ASSISTANT HHS DIRECTOR
Credential: LMFT
Phone: 530-822-7327