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SHASTA COUNTY MENTAL HEALTH BURNEY CLINIC NPI 1316096142


NPI Information

NPI: 1316096142
Provider Name: SHASTA COUNTY MENTAL HEALTH BURNEY CLINIC

Doing Business As: SHASTA COUNTY MENTAL HEALTH BURNEY

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
37497 ENTERPRISE STREET
A
BURNEY, CA
ZIP 96013
Phone: (530) 335-2906
Get Directions

SHASTA COUNTY MENTAL HEALTH BURNEY CLINIC is a mental health (including community mental health center) clinic center in Burney, CA. SHASTA COUNTY MENTAL HEALTH BURNEY CLINIC NPI is 1316096142. The provider is registered as an organization entity type.
The provider Is Doing Business As Shasta County Mental Health Burney.

The provider's business location address is:

37497 ENTERPRISE STREET
A
BURNEY, CA
ZIP 96013
Phone: (530) 335-2906
Fax: (530) 335-2389

The provider's authorized official is Mark Montgomery .
The authorized official title is Director Of Mental Health and has the following contact phone number (530) 225-5200.

The enumeration date for this NPI number is 1/10/2007 and was last updated on 4/1/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14581MEDICAIDCALIFORNIA
2ZZZ85236ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIANHIC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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