Healthcare Provider Details

I. General information

NPI: 1962653634
Provider Name (Legal Business Name): COUNTY OF SUTTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2008
Last Update Date: 07/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4853 OLIVEHURST AVE ATTN SYBH (MHSA HMONG CENTER)
OLIVEHURST CA
95961-4228
US

IV. Provider business mailing address

1965 LIVE OAK BLVD STE A ATTN SYBH (MHSA HMONG CENTER)
YUBA CITY CA
95991-8850
US

V. Phone/Fax

Practice location:
  • Phone: 530-749-2746
  • Fax:
Mailing address:
  • Phone: 530-822-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: RICK BINGHAM
Title or Position: ASSISTANT HHS DIRECTOR
Credential: LMFT
Phone: 530-822-7327