Organization Name: | COUNTY OF TEHAMA |
NPI Number: | 1043427388 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VALERIE S LUCERO (EXECUTIVE DIRECTOR) |
Mailing Address: | 1850 Walnut St Red Bluff |
State: | CA US |
Postal Code: | 960803611 |
Phone Number: | 5305278491 |
Fax Number: | 5305270240 |
NPI Enumeration Date: | 05/17/2007 |
NPI Last Update Date: | 10/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |