Sierra Vista - North in Newcastle - Community/behavioral Health
Sierra Vista - North - NPI 1063539609
Sierra Vista - North is a Community/behavioral Health in Newcastle, California. Sierra Vista - North practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Sierra Vista - North is 1063539609. The last update date is 2020-08-22.
Sierra Vista - North's current location address is 645 Kentucky Greens Way, Newcastle, California. You can contact this provider via phone number 9164154400. The mailing address for Sierra Vista - North is 645 Kentucky Greens Way, Newcastle, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sierra Vista - North |
|---|---|
| Address | 645 Kentucky Greens Way, Newcastle, California |
| Phone Number | 9164154400 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Bauman F Maureen |
| Telephone Number | 5308897256 |
NPI Number Detail
| NPI Number | 1063539609 |
|---|---|
| Provider Enumeration Date | 2007-03-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 645 Kentucky Greens Way |
|---|---|
| City | Newcastle |
| State | California (CA) |
| Post Code | 95658 |
| Phone Number | 9164154400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3186 | CA | STATE OF CA MENTAL HEALTH |
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What is the unique identification code assigned to Sierra Vista - North by the Centers for Medicare & Medicaid Services?
The Sierra Vista - North has been issued the NPI (National Provider Identifier) 1063539609. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Sierra Vista - North located?
The Sierra Vista - North is located at 645 Kentucky Greens Way, Newcastle, CA 95658.
What is Sierra Vista - North's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Sierra Vista - North is Community/behavioral Health, and the taxonomy classification code that categorizes this area of expertise is 251S00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063539609 to Sierra Vista - North?
The Centers for Medicare & Medicaid Services originally issued the 1063539609 to Sierra Vista - North on 2007-03-26.
When was the information related to Sierra Vista - North most recently updated or refreshed?
The details pertaining to the Sierra Vista - North, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.