Healthcare Provider Details

I. General information

NPI: 1659474815
Provider Name (Legal Business Name): COUNTY OF AMADOR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/31/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10877 CONDUCTOR BLVD STE 400
SUTTER CREEK CA
95685-9688
US

IV. Provider business mailing address

10877 CONDUCTOR BLVD STE 400
SUTTER CREEK CA
95685-9688
US

V. Phone/Fax

Practice location:
  • Phone: 209-223-6407
  • Fax: 209-223-1562
Mailing address:
  • Phone: 209-223-6407
  • Fax: 209-223-1562

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: MR. JAMES FOLEY
Title or Position: DIRECTOR OF HEALTH & HUMAN SERVICES
Credential:
Phone: 209-223-6407