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NPI Code Detail

MEDICARE: COUNTY OF MADERA

MEDICARE: COUNTY OF MADERA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
120AAOTHERDRUG MEDICAL NUMBER

General Provider Information

NPI Number : 1093850273
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF MADERA
Provider Business Mailing Address
First Line : PO BOX 1288
Second Line :
City : MADERA
State : CA
Zip : 93639-1288
Country : US
Telephone Number : 559-673-3508
Fax Number : 559-675-4999
Provider Business Practice Location Address
First Line : 209 E 7TH ST
Second Line :
City : MADERA
State : CA
Zip : 93638-3780
Country : US
Telephone Number : 559-673-3508
Fax Number : 559-675-4999
Authorized Official
Title or Position : DIRECTOR BEHAVIORAL HEALTH SERVICES
Name : DENNIS P KOCH
Credential : MPA
Telephone Number : 559-673-3508
Provider Enumeration Date : 02/21/2007
Last Update Date : 12/02/2014

Similar Medicare Providers

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Practice Location Address:
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1972925469 — ANNETTE ORTEGA ACSW
Practice Location Address:
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MADERA, CA
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Practice Fax:
1982732624 — MR. HIPOLITO RODERIC ORTIZ LMFT
Practice Location Address:
209 E 7TH ST
MADERA, CA
93638-3780
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Practice Fax:
1669536421 — DR. SWARANJIT SINGH GILL FNP-C, PMHNP-BC, DNP
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Directions to “COUNTY OF MADERA ” Practice Location

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