Calaveras County Behavioral Health Services | |
891 Mountain Ranch Rd San Andreas CA 95249-9713 | |
(209) 754-6525 | |
(209) 754-6597 |
Full Name | Calaveras County Behavioral Health Services |
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Speciality | Community/Behavioral Health |
Location | 891 Mountain Ranch Rd, San Andreas, California |
Authorized Official Name and Position | Stacey Meily (ADMINISTRATIVE ASSISTANT) |
Authorized Official Contact | 2097546516 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Calaveras County Behavioral Health Services 891 Mountain Ranch Rd San Andreas CA 95249-9713 Ph: (209) 754-6525 | Calaveras County Behavioral Health Services 891 Mountain Ranch Rd San Andreas CA 95249-9713 Ph: (209) 754-6525 |
NPI Number | 1811945132 |
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Provider Enumeration Date | 05/05/2006 |
Last Update Date | 11/04/2019 |
Medicare PECOS PAC ID | 1052318045 |
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Medicare Enrollment ID | O20120228000494 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811945132 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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