MEDICARE: BI-BETT

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	251S00000X	Community/Behavioral Health Agency	S0504101918	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01AD	OTHER	CA	ALCOHOL AND DRUGS

General Provider Information

NPI Number	:	1932304185
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BI-BETT

Provider Business Mailing Address
First Line	:	10700 MACARTHUR BLVD
Second Line	:	12
City	:	OAKLAND
State	:	CA
Zip	:	94605-5298
Country	:	US
Telephone Number	:	510-568-2432
Fax Number	:	510-568-3912

Provider Business Practice Location Address
First Line	:	10700 MACARTHUR BLVD
Second Line	:	12
City	:	OAKLAND
State	:	CA
Zip	:	94605-5298
Country	:	US
Telephone Number	:	510-568-2432
Fax Number	:	510-568-3912

Authorized Official
Title or Position	:	DIRECTOR
Name	:	PATRICIA ANN JOHNSON
Credential	:
Telephone Number	:	510-568-2432

Provider Enumeration Date	:	06/18/2007
Last Update Date	:	07/27/2007

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1669677803 — BI-BETT
Practice Location Address:

10700 MACARTHUR BLVD , SUITE 12
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Directions to “BI-BETT ” Practice Location

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