COUNTY OF MENDOCINO (NPI# 1831478148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831478148 |
| Entity Type | Organization |
| Organization Name | COUNTY OF MENDOCINO |
| Practice Address |
790 S Franklin St Suite #b Fort Bragg CA 95437-5456 |
| Practice Telephone | 7074722621 |
| Mailing Telephone | 7074722621 |
| Enumeration Date | 2011-08-04 |
| Last Update Date | 2011-08-04 |
| Authorized Official Name | LESLIE KIRKPATRICK (PROGRAM MANAGER) |
| Authorized Official Telephone | 7074722621 |
| Is Organization Subpart | Y |
| Parent Organization Name | COUNTY OF MENDOCINO |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP0904X |
Clinic/Center Specialization: Public Health, Federal |
Ambulatory Health Care Facilities | ||
| N | 261QP0905X |
Clinic/Center Specialization: Public Health, State or Local |
Ambulatory Health Care Facilities | ||
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL # | 2302 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366868671 | County of Mendocino | Community/Behavioral Health | 474 E. Valley Street, Willits, CA 95490-3635 | 2014-03-11 |
| 1407080898 | County of Mendocino | Clinic/Center | 405 Observatory Ave, Ukiah, CA 95482-5641 | 2009-05-13 |
| 1710016829 | County of Mendocino | Case Management | 518 Low Gap Rd, Ukiah, CA 95482-3735 | 2007-03-05 |
| 1063558823 | County of Mendocino | Public Health or Welfare | 221 S Lenore Ave, Willits, CA 95490-3632 | 2007-01-29 |
| 1528104387 | County of Mendocino | Public Health or Welfare | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2007-01-29 |
| 1588730642 | County of Mendocino | Clinic/Center | 860 N Bush St, Ukiah, CA 95482-3919 | 2006-11-28 |
| 1265858575 | County of Mendocino | Community/Behavioral Health | 727 S. State Street, Ukiah, CA 95482-5815 | 2014-03-11 |
| 1477985091 | County of Mendocino | Community/Behavioral Health | 727 S State St, Ukiah, CA 95482-5815 | 2013-08-06 |
| 1780818179 | County of Mendocino | Clinic/Center | 2240 Old River Rd, Ukiah, CA 95482-6103 | 2009-05-13 |
| 1649468968 | County of Mendocino | Public Health or Welfare | 518 Low Gap Rd, Ukiah, CA 95482-3735 | 2007-10-11 |
| Street Address |
790 S FRANKLIN ST SUITE #B |
| City | FORT BRAGG |
| State | CA |
| Zip Code | 95437-5456 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528104387 | County of Mendocino | Public Health or Welfare | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2007-01-29 |
| 1508214057 | Ilona Marcello | Counselor | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2016-05-25 |
| 1902036841 | Cathy Ann Fantulin | Registered Nurse | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2009-07-24 |
| 1598890717 | Aaron Goertzen | Public Health or Welfare | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2007-02-21 |
| 1861538548 | Julie Elkins | Licensed Psychiatric Technician | 790 S Franklin St, B, Fort Bragg, CA 95437-5456 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902357437 | Mendocino Coast Hospitality Center | Community/Behavioral Health | 137 E. Oak Street, Fort Bragg, CA 95437 | 2016-10-19 |
| 1144604570 | Erin Paul | Community Health Worker | 474 South Franklin Street, Fort Bragg, CA 95437 | 2015-07-15 |
| 1508125790 | Joel Macgregor Green | Marriage & Family Therapist | 331- G Redwood Ave., Fort Bragg, CA 95437 | 2012-05-09 |
| 1013244102 | Jenna Glasscock | Counselor | 331 E Redwood Ave, Ste E, Fort Bragg, CA 95437 | 2009-11-10 |
| 1770819641 | Patrick Lenaghan | Emergency Medicine | 707 River Dr, Fort Bragg, CA 95437 | 2009-10-27 |
| 1043455827 | M. Lee Baker | Dentist | 890 River Dr, Fort Bragg, CA 95437 | 2008-12-09 |
| 1528250495 | Christine Anne Samas | Social Worker | 656a Harrison St., Fort Bragg, CA 95437 | 2007-08-15 |
| 1083822811 | Katharine L. White | Marriage & Family Therapist | 137 E Oak Street, Fort Bragg, CA 95437 | 2007-05-17 |
| 1053525873 | Marty Christine Johnson | Marriage & Family Therapist | 331 E. Redwood Ave, Fort Bragg, CA 95437 | 2007-05-10 |
| 1528114741 | Kate Teresa Donohue | Psychologist | 19201 Noyo Acres Dr, Fort Bragg, CA 95437 | 2007-01-29 |
| Find all providers in zip 95437 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528104387 | County of Mendocino | Public Health or Welfare | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2007-01-29 |
| 1598890717 | Aaron Goertzen | Public Health or Welfare | 790 S Franklin St, Fort Bragg, CA 95437-5456 | 2007-02-21 |
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|---|---|---|---|---|
| 1003429390 | The Health Trust | Public Health or Welfare | 46 Race St, San Jose, CA 95126-3130 | 2020-08-26 |
| 1396365003 | Hr Support Inc | Public Health or Welfare | 6143 Mount Diablo Ct, Castro Valley, CA 94552-1948 | 2020-04-22 |
| 1811516610 | Fabian Sanchez | Public Health or Welfare | 1940 Nice Dr Apt 106, Corona, CA 92882-4584 | 2020-04-11 |
| 1528695319 | Central Coast Veterans Associates LLC | Public Health or Welfare | 1890 Diablo Drive, San Luis Obispo, CA 93405-4762 | 2020-03-24 |
| 1548893654 | Transitional Nutrition LLC | Public Health or Welfare | 741 Jackson St, Albany, CA 94706-1134 | 2020-02-17 |
| 1639723760 | Matthew Schultzel Do and Douglas Sullivan PC | Public Health or Welfare | 477 N El Camino Real Ste A308, Encinitas, CA 92024-1350 | 2019-07-26 |
| 1760048086 | Info Line of San Diego | Public Health or Welfare | 3860 Calle Fortunada Ste 101, San Diego, CA 92123-4802 | 2019-05-13 |
| 1629548615 | Mojo Enterprises Inc. | Public Health or Welfare | 1004 Emerson St, Palo Alto, CA 94301-2416 | 2018-12-03 |
| 1790265163 | Genben Lifesciences Corporation | Public Health or Welfare | 6370 Lusk Blvd Ste F205, San Diego, CA 92121 | 2018-08-15 |
| 1215429188 | National Health Foundation | Public Health or Welfare | 515 S Figueroa St Ste 1300, Los Angeles, CA 90071-3300 | 2018-06-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT BRAGG |
| Zip Code | 95437 |
Please comment or provide details below to improve the information on COUNTY OF MENDOCINO.
| 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.