Healthcare Provider Details

I. General information

NPI: 1518088970
Provider Name (Legal Business Name): COUNTY OF MERCED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 06/09/2022
Certification Date: 06/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7099 CALIFORNIA STREET
WINTON CA
95388-9240
US

IV. Provider business mailing address

PO BOX 2087
MERCED CA
95344-0087
US

V. Phone/Fax

Practice location:
  • Phone: 209-381-6800
  • Fax: 209-724-4046
Mailing address:
  • Phone: 209-381-6800
  • Fax: 209-725-3811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateCA

VIII. Authorized Official

Name: GENEVIEVE GABRIELLE VALENTINE
Title or Position: MERCED COUNTY BHRS DIRECTOR
Credential:
Phone: 209-381-6813