| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 619 3rd St, Orland, California |
| Authorized Official Name and Position | Tamera Karen Hanni (ADMINISTRATIVE SERVICES ANALYST III) |
| Authorized Official Contact | 5309346582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
242 N Villa Ave Willows CA 95988-2641 Ph: (530) 934-6582 | 619 3rd St Orland CA 95963-1340 Ph: (530) 934-1488 |
| NPI Number | 1114044153 |
|---|---|
| Provider Enumeration Date | 03/23/2007 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114044153 | NPI | - | NPPES |
| 01988600 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
County Of Glenn Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1187 E South Street, Orland, CA 95963 Phone: 530-865-1146 | |
County Of Glenn Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1167 E South St, Orland, CA 95963 Phone: 530-865-6459 | |
Glenn County Office Of Education Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 418 Walker Street, Orland, CA 95963 Phone: 530-934-6575 |