MEDICARE: COUNTY OF BUTTE

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
1	251K00000X	Public Health or Welfare Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790886117
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COUNTY OF BUTTE

Provider Business Mailing Address
First Line	:	202 MIRA LOMA DR
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95965-3500
Country	:	US
Telephone Number	:	530-538-7581
Fax Number	:	530-538-5294

Provider Business Practice Location Address
First Line	:	78 TABLE MOUNTAIN BLVD
Second Line	:
City	:	OROVILLE
State	:	CA
Zip	:	95965-3578
Country	:	US
Telephone Number	:	530-552-3918
Fax Number	:	530-538-5294

Authorized Official
Title or Position	:	ASSISTANT DIRECTOR
Name	:	DEANNE BLANKENSHIP
Credential	:	MPH
Telephone Number	:	530-552-3877

Provider Enumeration Date	:	09/26/2006
Last Update Date	:	07/21/2025

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Directions to “COUNTY OF BUTTE ” Practice Location

Language	Start Address	Practice Location

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