Lake County Community Action Agency in Clearlake - Community/behavioral Health
Lake County Community Action Agency - NPI 1215125026
Lake County Community Action Agency is a Community/behavioral Health in Clearlake, California. Lake County Community Action Agency practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Lake County Community Action Agency is 1215125026. The last update date is 2007-10-05.
Lake County Community Action Agency's current location address is 6885 Old Hwy 53, Clearlake, California. You can contact this provider via phone number 7079953235 and fax number 7079957004. The mailing address for Lake County Community Action Agency is 6885 Old Hwy 53, Clearlake, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake County Community Action Agency |
|---|---|
| Address | 6885 Old Hwy 53, Clearlake, California |
| Phone Number | 7079953235 |
| Fax Number | 7079957004 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PROGRAM DI |
|---|---|
| Authorized Official Name | Weaver M. Rose |
| Credentials | CADAC II |
| Telephone Number | 7079953235 |
NPI Number Detail
| NPI Number | 1215125026 |
|---|---|
| Provider Enumeration Date | 2007-10-05 |
| Last Updated Date | 2007-10-05 |
Provider Mailing Address Detail
| Address | 6885 Old Hwy 53 |
|---|---|
| City | Clearlake |
| State | California (CA) |
| Post Code | 95422 |
| Phone Number | 7079953235 |
| Fax Number | 7079957004 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
| Licence No | 170010AN |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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What is the unique provider identifier assigned to Lake County Community Action Agency?
The Lake County Community Action Agency has been issued the NPI (National Provider Identifier) 1215125026 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Lake County Community Action Agency located?
The Lake County Community Action Agency is located at 6885 Old Hwy 53, Clearlake, CA 95422.
What is the area of specialization for Lake County Community Action Agency, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lake County Community Action Agency is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
On what date did the Lake County Community Action Agency receive the assignment of its 1215125026 from the Centers for Medicare & Medicaid Services?
The Lake County Community Action Agency was issued its 1215125026 by the Centers for Medicare & Medicaid Services on 2007-10-05.
When was the information pertaining to Lake County Community Action Agency most recently updated or revised?
The details related to Lake County Community Action Agency, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-05.