Healthcare Provider Details

I. General information

NPI: 1114789021
Provider Name (Legal Business Name): COUNTY OF SUTTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2024
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1077 CIVIC CENTER BLVD
YUBA CITY CA
95993-3002
US

IV. Provider business mailing address

1077 CIVIC CENTER BLVD
YUBA CITY CA
95993-3002
US

V. Phone/Fax

Practice location:
  • Phone: 530-822-7307
  • Fax:
Mailing address:
  • Phone: 530-822-7307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2400X
TaxonomyPrison Health Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RICK BINGHAM
Title or Position: BEHAVIORAL HEALTH DIRECTOR
Credential: LMFT
Phone: 530-822-7200