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NPI Code Detail

MEDICARE: COUNTY OF BUTTE

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
1251S00000XCommunity/Behavioral Health Agency
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3261QM0855XAdolescent and Children Mental Health Clinic/Center

General Provider Information

NPI Number : 1942368378
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF BUTTE
Provider Business Mailing Address
First Line : 109 PARMAC ROAD
Second Line : SUITE 1
City : CHICO
State : CA
Zip : 95926-2218
Country : US
Telephone Number : 530-891-2980
Fax Number : 530-895-6548
Provider Business Practice Location Address
First Line : 88 TABLE MOUNTAIN BLVD
Second Line :
City : OROVILLE
State : CA
Zip : 95965-3578
Country : US
Telephone Number : 530-538-2158
Fax Number : 530-533-7188
Authorized Official
Title or Position : ASSISTANT DIRECTOR
Name : AMY WILNER
Credential : MPA
Telephone Number : 530-879-3367
Provider Enumeration Date : 12/05/2006
Last Update Date : 05/31/2012

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Directions to “COUNTY OF BUTTE ” Practice Location

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