COUNTY OF SACRAMENTO (NPI# 1205907938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205907938 |
| Entity Type | Organization |
| Organization Name | COUNTY OF SACRAMENTO |
| Other Organization Name | CCS BOWLING GREEN MTU |
| Practice Address |
4211 Turnbridge Dr Sacramento CA 95823-1929 |
| Mailing Address |
7001a East Pkwy Suite 600 Sacramento CA 95823-2501 |
| Practice Telephone | 9163921480 |
| Practice Fax Number | 9163936079 |
| Mailing Telephone | 9168755881 |
| Mailing Fax Number | 9168755888 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | BERNICE WALTON (DIVISION CHIEF) |
| Authorized Official Telephone | 9168756086 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CCS00025F | 05 |
| Other Name | Type Code |
|---|---|
| CCS Bowling Green MTU | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435631 | County of Sacramento | Clinic/Center | 651 I Street, Sacramento, CA 95814 | 2019-12-26 |
| 1396114104 | County of Sacramento | Clinic/Center | 1215 Del Paso Blvd, Sacramento, CA 95815-3608 | 2015-09-22 |
| 1285061663 | County of Sacramento | Case Management | 7001 East Pkwy Ste 250a, Sacramento, CA 95823-2501 | 2013-10-01 |
| 1619271129 | County of Sacramento | Clinic/Center | 1321 North C Street, Sacramento, CA 95811 | 2010-12-28 |
| 1225356819 | County of Sacramento | Clinic/Center | 2140 Stockton Blvd, Sacramento, CA 95817-1337 | 2010-05-07 |
| 1548495906 | County of Sacramento | Clinic/Center | 2130 & 2140 Stockton Blvd, Sacramento, CA 95817-1337 | 2009-05-28 |
| 1366613291 | County of Sacramento | Community/Behavioral Health | 4990 Stockton Blvd, Sacramento, CA 95820-5406 | 2008-03-19 |
| 1457427072 | County of Sacramento | Clinic/Center | 1590 A St, Sacramento, CA 95814-0600 | 2006-11-27 |
| 1942376561 | County of Sacramento | Clinic/Center | 1725 28th St, Sacramento, CA 95816-6919 | 2006-11-27 |
| 1366518987 | County of Sacramento | Clinic/Center | 2450 Florin Rd, Sacramento, CA 95822-4405 | 2006-11-27 |
| Street Address |
4211 TURNBRIDGE DR |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-1929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659909307 | Andrea Eva Battle | Occupational Therapist | 4211 Turnbridge Dr, Sacramento, CA 95823-1929 | 2020-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366078115 | Humangood Socal | Clinic/Center | 1151 S Redwood St, Escondido, CA 92025-5614 | 2020-03-12 |
| 1477192813 | Wellness Recovery Retreat Center | Clinic/Center | 1562 Meridian Ave, San Jose, CA 95125-5319 | 2020-01-02 |
| 1548818636 | Advent Healthcare Solutions, LLC | Clinic/Center | 255 W Fallbrook Ave Ste 102, Fresno, CA 93711-6151 | 2019-08-31 |
| 1770052748 | The Kibbutz - Nature Serenity Renewal | Clinic/Center | 13136 Elizabeth Lake Rd, Leona Valley, CA 93551 | 2018-11-19 |
| 1144795261 | Divine Bliss, Inc. | Clinic/Center | 1219 Parnell Pl, Costa Mesa, CA 92626-2737 | 2018-10-04 |
| 1407346489 | True North Detox LLC | Clinic/Center | 2121 Herndon Ave Ste 102, Clovis, CA 93611-6302 | 2018-05-15 |
| 1851898811 | Sober First Recovery LLC | Clinic/Center | 3309 Clay St, Newport Beach, CA 92663-4208 | 2018-04-06 |
| 1306354634 | Sea Change Santa Monica, Lp | Clinic/Center | 1051 Princeton St, Santa Monica, CA 90403 | 2018-01-22 |
| 1356860738 | Destiny Recovery Center Iop | Clinic/Center | 23041 Avenida De La Carlota Ste 280, Laguna Hills, CA 92653-1531 | 2017-09-17 |
| 1073966370 | New U Beginnings Inc | Clinic/Center | 5205 Agnes Ave, Valley Village, CA 91607-2701 | 2016-07-21 |
| Find all providers with the same taxonomy | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
Please comment or provide details below to improve the information on COUNTY OF SACRAMENTO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.