Healthcare Provider Details

I. General information

NPI: 1083831960
Provider Name (Legal Business Name): COUNTY OF SUTTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/20/2007
Last Update Date: 07/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1445 VETERANS MEMORIAL CIR ATTN HEALTH DIVISION (PRIMARY CARE)
YUBA CITY CA
95993-3011
US

IV. Provider business mailing address

1445 VETERANS MEMORIAL CIR ATTN HEALTH DIVISION (PRIMARY CARE)
YUBA CITY CA
95993-3011
US

V. Phone/Fax

Practice location:
  • Phone: 530-822-7215
  • Fax: 530-822-7223
Mailing address:
  • Phone: 530-822-7215
  • Fax: 530-822-7223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

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