County Of Mendocino in Fort Bragg - Community/behavioral Health
County Of Mendocino - NPI 1194853713
County Of Mendocino is a Community/behavioral Health in Fort Bragg, California. County Of Mendocino practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for County Of Mendocino is 1194853713. The last update date is 2023-12-02.
County Of Mendocino's current location address is 790 S Franklin St Ste B, Fort Bragg, California. You can contact this provider via phone number 7079644747. The mailing address for County Of Mendocino is 790 S Franklin St Ste B, Fort Bragg, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | County Of Mendocino |
|---|---|
| Address | 790 S Franklin St Ste B, Fort Bragg, California |
| Phone Number | 7079644747 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Miller Jenine |
| Credentials | PSY.D. |
| Telephone Number | 7074722355 |
NPI Number Detail
| NPI Number | 1194853713 |
|---|---|
| Provider Enumeration Date | 2007-03-02 |
| Last Updated Date | 2023-12-02 |
Provider Mailing Address Detail
| Address | 790 S Franklin St Ste B |
|---|---|
| City | Fort Bragg |
| State | California (CA) |
| Post Code | 954375456 |
| Phone Number | 7079644747 |
| 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 |
|---|---|---|---|
| BBB33295B | CA | MH SUBMITTER # | |
| 23 | CA | -- | |
| 2311 | CA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to County Of Mendocino by the Centers for Medicare & Medicaid Services?
The County Of Mendocino has been issued the NPI (National Provider Identifier) 1194853713. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where County Of Mendocino is physically located?
The County Of Mendocino is physically situated at the following address: 790 S Franklin St Ste B, Fort Bragg, CA, 954375456.
What is the area of specialization for County Of Mendocino, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for County Of Mendocino is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
On what date did the County Of Mendocino receive its 1194853713 assignment from the Centers for Medicare & Medicaid Services?
The County Of Mendocino was assigned its 1194853713 by the Centers for Medicare & Medicaid Services on 2007-03-02.
When was the County Of Mendocino's information last updated?
The County Of Mendocino's information was last updated on 2023-12-02.