Provider Demographics
NPI:1003042383
Name:MHN SERVICES
Entity Type:Organization
Organization Name:MHN SERVICES
Other - Org Name:OCCUPATIONAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER CHEMICAL DEPENCY PROGRAMS
Authorized Official - Prefix:MR
Authorized Official - First Name:KARL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:MEABROD
Authorized Official - Suffix:
Authorized Official - Credentials:CAS
Authorized Official - Phone:209-552-3585
Mailing Address - Street 1:2260 FLOYD AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95355-9600
Mailing Address - Country:US
Mailing Address - Phone:209-552-3585
Mailing Address - Fax:209-523-0429
Practice Address - Street 1:2260 FLOYD AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95355-9600
Practice Address - Country:US
Practice Address - Phone:209-552-3585
Practice Address - Fax:209-523-0429
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH NET, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA500012AP305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service