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County Of Mendocino
State or Local Public Health Clinic/Center in Fort Bragg, California
NPI 1831478148

County Of Mendocino is a State or Local Public Health Clinic/Center based in Fort Bragg, CA and is specialized in Public Health, State or Local. County Of Mendocino practices in Fort Bragg, CA. The NPI Number for County Of Mendocino is 1831478148 and holds a License No. (California).

The current practice location address for County Of Mendocino is 790 S Franklin St, Fort Bragg, CA and can be reached out via phone at 707-472-2621.

Location: 790 S Franklin St, Fort Bragg, CA, 95437-5456
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1831478148
Provider Name
County Of Mendocino
Credential
Provider Entity Type
Organization
Address
790 S Franklin St, Fort Bragg, CA, 95437-5456
Phone Number
707-472-2621
Fax Number
Provider Enumeration Date
08/04/2011
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2302 01 CA MEDI-CAL #
institution
Provider Business Practice Location Address Details
Address
790 S Franklin St
City
Fort Bragg
State
California
Zip
95437-5456
Phone Number
707-472-2621
Fax Number
person
Provider Business Mailing Address Details
Address
790 S Franklin St
City
Fort Bragg
State
California
Zip
95437-5456
Phone Number
707-472-2621
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Public Health, Federal
Taxonomy
261QP0904X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Public Health, State or Local
Taxonomy
261QP0905X
License No.
()
Definition
Definition to come...
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