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NPI Code Detail

MEDICARE: TEHAMA COUNTY

MEDICARE: TEHAMA COUNTY
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
1261Q00000XClinic/Center
2261QP0905XState or Local Public Health Clinic/Center
3251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1982810107
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEHAMA COUNTY
Provider Business Mailing Address
First Line : PO BOX 400
Second Line :
City : RED BLUFF
State : CA
Zip : 96080-0400
Country : US
Telephone Number : 530-527-8491
Fax Number : 530-527-0240
Provider Business Practice Location Address
First Line : 818 MAIN ST
Second Line :
City : RED BLUFF
State : CA
Zip : 96080-2759
Country : US
Telephone Number : 530-527-8491
Fax Number : 530-527-0240
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. JAYME BOTTKE
Credential :
Telephone Number : 530-527-8491
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/31/2024

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Directions to “TEHAMA COUNTY ” Practice Location

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