Sierra County | |
22 Maiden Ln Downieville CA 95936 | |
(530) 289-3711 | |
(530) 289-3716 |
Full Name | Sierra County |
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Speciality | Community/behavioral Health |
Location | 22 Maiden Ln, Downieville, California |
Authorized Official Name and Position | Robert Walter Szopa (PROGRAM MANAGER) |
Authorized Official Contact | 5309936746 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sierra County Po Box 38 Downieville CA 95936-0038 Ph: (530) 289-3711 | Sierra County 22 Maiden Ln Downieville CA 95936 Ph: (530) 289-3711 |
NPI Number | 1104434372 |
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Provider Enumeration Date | 07/14/2020 |
Last Update Date | 10/02/2020 |
Certification Date | 09/14/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104434372 | NPI | - | NPPES |
1114145752 | Other | CA | NPI FOR OUR OTHER LOCATION |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |