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MADERA COUNTY BEHAVIORAL HEALTH NPI 1619191962


NPI Information

NPI: 1619191962
Provider Name: MADERA COUNTY BEHAVIORAL HEALTH
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
49774 ROAD 426
SUITE D
OAKHURST, CA
ZIP 93644
Phone: (559) 683-4809
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MADERA COUNTY BEHAVIORAL HEALTH is an addiction (substance use disorder) counselor in Oakhurst, CA. MADERA COUNTY BEHAVIORAL HEALTH NPI is 1619191962. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

49774 ROAD 426
SUITE D
OAKHURST, CA
ZIP 93644-690
Phone: (559) 683-4809
Fax: (559) 683-6499

The provider's authorized official is Leonard Steven Samora .
The authorized official title is Certified Alcohol Drug Counselor and has the following contact phone number (559) 683-4809.

The enumeration date for this NPI number is 4/11/2007 and was last updated on 8/13/2008.


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
1101YA0400XCounselorAddiction (Substance Use Disorder)FACT 242CALIFORNIAYes

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
1=========MEDICARE UPINCALIFORNIA

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: 11/14/2023

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